His and Her Health

Dear Dr, G,
Yesterday I was diagnosed with a Lichen issue but not specifically which one, as well as vestibulitis. I was given Clobetasol and Lidocaine. told to use the clobetasol 1x per day for 30 days, then every other day after that. I was told to use the lidocaine 4x per day. then i have a follow up in april. I am wondering if there is a way to know exactly which Lichen i have and if it is necessary to find that out. I did have a biopsy and it showed inflammation consistant with Lichen Sclerosis, so I am wondering why planus was brought up. I am also wondering why only Lidocaine was prescribed for the VVD. I brought up physical therapy and was told I could look into it, but it wasn't initiated by the NP. I have an appointment scheduled with you in NY on 4/9 (I live in MA) but was wondering your thoughts before then. I can't spend another months in pain, I can barely function as it is. Thanks for your help.

Dr G,
To add to my posting above. 2 other obgyns did not think I had lichen, even with the biopsy, they said it was just inflammation from the VVD. the obgyn i saw yesterday who said it WAS lichen, said it was because my labia was shrinking and the skin was pale. I just read in one of your postings that Labia can be uneven or small in places naturally. I was also diagnosed with atrophic vaginitis, because i have been breastfeeding for 9 months and have not had a period yet, which can also make the labia look pale. I am concerned that I have been diganosed with Lichen Sclerosis, Lichen Planus, VVD and atrophic vaginitis. Is that possible? It seems like they are throwing everything and the kitchen sink at me, and all i have to show for it is a tube of lidocaine and clobetasol.
thanks for listening and I appreciate any help you can give.

Cassiesmom...I amsure Dr. Goldstein will help you get to the bottom of this. To let you know, if he does recommend PT, there are some great ones in MA!
Good Luck
niva

Niva,
Who would u recommend? I just started seeing Stacey Berger at South County Physical Therapy. I have appointments lined up with Raquel Perliss, but the earliest I could get in is the end of May. I tried contacting Holly Herman a few times, but have not heard back.
Thanks for the help!

Email me and I'll give you the names of a few good PTs in Massachusetts. I'm a urogyn NP and deal with PTs frequently.

Leah

<small>[ 03-04-2009, 07:50 PM: Message edited by: Moderator ]</small>

Urogyn NP, email addresses are not allowed in posts. If you put it in your profile others can contact you that way.

I don't know Stacey...Raquel and Holly are great. You can email me for more names in Boston area...