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» This Changed My Practice » Dr. Leslie Sadownik

Dr. Leslie Sadownik

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Patient care

Help – the steroids are not working – Helping women with refractory vulvar lichen sclerosus

By Dr. Leslie Sadownik on February 13, 2019

Lichen sclerosus (LS) is a chronic skin disorder with a remitting and relapsing clinical course. Women commonly present with severe vulvar itch and an urge to scratch the skin. The recommended treatment is a course of topical steroids. Most women will improve with treatment. However, some will report, “the steroids did not help”. Here are some practice tips to help.

female-patient

Practice Tip: “SAIL” through a vulvovaginal examination

By Dr. Leslie Sadownik on April 4, 2018

Women with chronic vulvar disorders will often report years of symptoms before an accurate diagnosis is made, and effective treatment is started.


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