Doctor insights on:
Vulvar Dystrophy Treatment
Fuchs: It depends on a multitude of factors such as your best corrected vision, your corneal thickness, your endothelial cell count (health of the inner layer of cells). Anyone with Fuchs should be evaluated by an eye care provider and optimally by a corneal specialist who can review the condition and go over treatments and options and measure the disease course. ...Read moreSee 2 more doctor answers
Vulvar pain: The new terminology for vulvar vestibulitis is localized provoked vulvodynia. It is characterized by severe pain incited by focal touch or pressure of the vulva. Most patients with localized provoked pain are referred for physical therapy to the pelvic floor with biofeedback. It is most useful for patients who also have vaginismus, back pain, or muscle spasms. ...Read more
Vulvar cancer: Vulvar dysplasia (precancer) can be treated by surgery (cutting it out or destroying it with a laser) or occasionally with medicine. Invasive vulvar cancer is most commonly treated with surgery (removal of lesion and lymph nodes). Rarely, chemotherapy or radiation is used also for advanced disease. ...Read moreSee 6 more doctor answers
It varies.: It completely depends on both the size of the abnormal area, and upon the area of the vulva infected. Most results are not disfiguring. Do not hesitate to discuss these concerns with your surgeon. ...Read more
Tuborous sclerosis. Which insurance covers laser treatment for angiofibromas? Best treatments for angiofibromas? Laser treatment is ineffective.
Angiofibromad: There are three main types of treatment for juvenile nasopharyngeal angiofibroma: hormone therapy, radiation therapy and surgery. Hormone therapy involves the use of a drug called flutamide, which acts by blocking testosterone receptors. The activity of this drug is further evidence for a hormonal cause for the condition. Treatment with Flutamide can shrink tumors by more than 40 percent. ...Read more
What's best treatment for recurrent corneal erosions: anterior stromal puncture or phototherapeutic keratectomy?
Meds then surgery: Usually you want to move from least to most aggressive treatment. Utilizing topical and oral anti-inflammatories as well as lubricating treatment should be tried first. Stromal puncture should only be used for small areas outside of the visual axis as scarring can occur. Laser ptk can be used for a larger area that is more anterior, especially if the cornea is steep or the pt is nearsighted. ...Read more
There is no cure.: While there is no cure, a number of medications have been tried to lessen the symptoms, including: albuteral--a drug used for people with asthma, amino acids, carnitine, coenzyme q10, creatine, fish oil, green tea extracts, vitamin e, steroids. A neurologist who specializes in muscle disorders would be most helpful to you. ...Read moreSee 1 more doctor answer
Is a gynecologist who treats only vulvar disorders or gynocologic oncologist best for treating differentiated VIN2?
Depends: We all have different levels of experience. In general most OB/GYNs can treat VIN2, but if your GYN isn't comfortable and wants to refer you to a GYN Oncologist, its fine too. ...Read more
Help me interpret vulvar biopsy. Focal squamous atypia. Ki-67 shows mild increase cell proliferation focal vin can't be excluded. Lichen sclerosis?
Nothing serious yet: This report suggests slightly abnormal changes (atypia & increased cell proliferation) which can be a reaction to irritation but there is no definitive evidence of precancerous change (VIN). In short there is nothing to worry about right now unless you are concerned and you'd like a second opinion ...Read more
Symptomatic Therapy: Myotonic dystrophy is probably the most common form of muscular dystrophy. It is a multisystem disease that includes dystrophy of muscle, myotonia, cardiopathy, ocular cataracts, and endocrinopathy. Myotonia can be treated with anticonvulsant drugs, cardiac , ocular and endocrine symptoms are treated as they would be in any other patient. There is no specific therapy for the underlying disorder. ...Read more
It is remmitable!: Sacroilitis occurs in the spondyloarthopathies. It is the most frquent and early manifestaion of spinal involvement. It is entirely remmitable with current drugs available. It is a common form of arthritis seen in a rheumatology practice. Some patients remit and go off of medication, but in most, it recurs. ...Read more
Doctor, greetings! what are the possible treatment on: a) acute cervicitis with squamous methaplasia. B) benign endocervical glands?
See an OB/GYN: If you have these conditions you are already being seen by a gynecologist. Why do you not ask them to discuss these with you in depth. The cervical squamous metaplasia can be secondary to treatable infection, but because it can also be precancerous it may need more of a surgical approach, but this can only be determined by the person seeing and examining you. ...Read more
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