'Ask an Expert: Q&A' is a place for health professionals to ask our team of experts about cases seen in work and/or clinical practice.
Questions can cover a wide range of women’s health topics and will be answered by an expert in the multidisciplinary Jean Hailes health professional team. Read more about this series or learn how to ask a question here.
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Answering your questions for this edition of 'Ask an Expert: Q&A' is Tanja Bohl, Jean Hailes dermatologist.
A 75 year-old woman has had vulval pain for months with dyspareunia. Her main concern is loss of pleasure during sex. She is using Ovestin and KY lubricant without any improvement. She was previously using a corticosteriod cream. Examination reveals a white shiny vulva. I have referred her for a biopsy to rule out lichen sclerosis. What else can I do?
From Jean Hailes dermatologist Dr Tanja Bohl
I think what you have done is good. Please consider the following:
The following things are for comfort and avoiding aggravating the vulva rather than specific treatment.