How to apply Clobetasol or Halobetasol
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Hi guys,
I am just curious I've listened to Dr. Goldstein's lecture and found it very informative on how to use Clobetasol (soaking warm bath for 20 minutes before applying Clob). My question is what areas to apply the Clob. My uro gynecologist says to apply in affected areas, labia major, labia minora and above the urethra in soft skin area. My dermatologist tells me to avoid the vaginal opening, don't apply to the area near the rectum or an mucosal areas. I'm confused. Another question I had a D & C in July due to vaginal opaque discharge. The discharge has returned I've seen the gynecologist twice regarding the discharge. She states it's not a yeast infection. Does this usually occur With LS? Question number three in my inner labia minora I have two reddish spots they're are not open wounds just like vessels under the skin is this part of the many ways LS shows up?
2 likes, 13 replies
suzanne00 Wil816
Posted
I don't think that this is a science yet, so our doctors may just be trying to figure it out, like we are. We have to weigh the costs/benefits of treatment versus no treatment and make our decisions accordingly. Treating comes with some risks, but not treating comes with a lot of risks, too.
I have some slightly reddened areas next to the white areas. Not sure if that's what you are seeing. I assume that your doctors are keeping an eye on you for maligancy, which we all run a slight risk of with LS.
Regarding the discharge, I had similar sounding discharge a few years ago and it turned out to be bacterial vaginosis. Have you ruled that out with your doctors? It sometimes can have a very mild fishy odor. It is very common in women (and sometimes passed back and forth between sexual partners). The odor is sometimes more pronounced after intercourse and the next day. Some antibiotics can treat bacterial vaginosis, but I haven't had any recurrances of it since following some research that I read which says that low vitamin D levels can make it more likely (can assess vitamin D levels with a blood test), so I take vitamin D. I think that the probiotics that I take and fermented foods also helps the vaginal flora to maintain itself in a healthy way, too.
I hope that sharing some of my experiences are of some use to you. These are not easy issues to be dealing with! --Suzanne
carmarie Wil816
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Morrell1951 Wil816
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One of the biggest obstacles to solving LS, as Dr. Goldstein said, is that Dermatologists have more training that gynaecologists on the disorder, but aren't accustomed to examining any areas under our panties.
It's very clear wherever you read that LS is never inside the vagina. That would more likely be lichen planus or, as Suzanne says, an infection. Then you're really in gynaecolocy's territory.
I've had a yeast infection this past week (treating it with the slow-working cream, which is gentler on LS than the Bomb – one-night suppositories) and it seeems to be causing an LS flare (white perineum again and a long split). I've suspected that all the years before my diagnosis those many yeast infections (caused by sugar, stress and the friction of sex) were giving the LS repeated boosts. I blame the current outbreak of yeast on a combination of rubbing Premarin cream on for three nights, a stressful day, and an ice cream cone.
kate207 Wil816
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suzanne00 kate207
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Morrell1951 suzanne00
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I think if you have been getting it on there (it's mucous membrane, not skin) it's not surprising it's sore.
suzanne00 Morrell1951
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Morrell1951 suzanne00
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kate207 suzanne00
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Morrell1951 kate207
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suzanne00 kate207
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kate207 Wil816
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sha1271 Wil816
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