treatment options

I have had vulval ezcema (eczema) for the past 12years i have had a vulval biopsy which was NAD i have tried steroid creams to no avail and used epaderm and aqueous cream all too no avail i have also tried nearly all the over the counter creams what elsecan i do to stop the itching and the pain

[Elaine Brown, MD]

Hi Amber

Have you tried the extra strong steroids like Diprolene and Clobetasole?

Another possibility might be someting like Protopic.

Depending upon your age, systemic or local estrogen therapy or progesterone or even testosterone therapy might do some good.

A couple of thoughts too:  Have you been to a dermatologist recently?  Eczema is eczema and a dermatologist is more likely to have the newest information on medications.  From what I can see on line, it looks like Protopic would be worth a try if all else has failed.

Also, there is an interesting site called www.skinsite.com that you may want to visit.  They had a whole regimen for therapy of lichen sclerosis which would probably also be applicable to eczema.  Rather than repeat it, I'll give you the URL:

http://www.skinsite.com/info_lichen_sclerosus.htm

Good luck!

Dr B