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What can I do to get rid of vulvitis that has been there for 20 years ?

I HAVE HAD VULVAL PAIN AND DISCOMFORT FOR 20YEARS. VULVAL BIOPSY HAS SHOWN CHRONIC NON SPECIFIC INFLAMMATION . NO TREATMENTS HAVE WORKED. RECENTLY iI HAVE DEVELOPED WIDESPREAD ITCHING OF THE WHOLE BODY AND SLIGHT ARTHRALGIA. HAVE YOU ANY IDEAS WHAT MIGHT BE THE CAUSE AND ANY POSSIBLE TREATMENTS. I AM 50YEARS OF AGE. TREATMENTS TRIED, AMYTRIPTILLINE, STEROIDS, AQUEOUS CREAM . KIND REGARDS.
Asked On : Wed, 1 Jun 2011
Answers:  3 Views:  262
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General Surgeon 's  Response
wlcome to healthcaremagic
please get a check up with dermatologist and gynecologist
for the time being take allagra180 2 times daily and can try calamine lotion
you need a check up and some investigations .
there may be some autoimmune problem
Answered: Thu, 2 Jun 2011
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Dermatologist Dr. Ashutosh Pandya's  Response
hi
your diagnosis seems to be vulvodynia.
your problem seems to be very unusual as its been recurring for quiet long duration and not responding to conventional therapies. a proper work out is required as this problem may be multifactorial like it may be allergic or irritant contact dermatitis ( eg from pads, vaginal secretions, latex, fiber, etc.), any bacterial or fungal infection, neurological, some autoimmune disorder. i recommend you to consult a dermatologist first, it he recommend consult a neurologist as well. i also advise you not to scratch the area.
Answered: Fri, 3 Jun 2011
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General & Family Physician Dr. Aashish Raghu's  Response
Hi,
Causes of vulvitis are enumerous. Some of them include Diabetes, local infection due to injury and repeated trauma to the area. Also in menopausal women, the vagina becomes dry. You could try using Estrogen creams which can help, especially if you are sexually active at present. Kindly get evaluated for Diabetes if you haven't yet.
Answered: Thu, 2 Jun 2011
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