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Vaginal Delivery With A Lichen Condition?

6 posts on this thread and the last post was on September 17th, 2008 4:49 PM
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anamariaflorencia - July 16th, 2008 10:13 AM
[Original Post]

Hi,
Is there anyone out there that knows about delivering vaginally with Lichen Simplex Chronicus, Lichen Sclerosus or Lichen Planus? Because of this condition my skin has very little elasticity and tears frequently from sex and bowel movements. How is it going to hold up to pushing a baby out. I'll be torn to shreds! I've heard recovering from episiotomies with this condition is the pits as even after years, the episiotomy site still tears. Please help or come for support if you have one of these condtions!


artymuffin - September 17th, 2008 12:34 PM

Hi. Almost a year ago my gyno had diagnosed me with something similar - because I had recently been showing symptoms for about 9 months. My skin was itchy, dry, frequently tearing during sex, etc. (this had recently started even though I'd faithfully been with my hubby for over 4 years at that time) . They removed a fissure of scar tissue in my perriannum and performed a biopsy - which turned out to be negative for any irregularities. However, before surgery he prescribed me a special cream that was AMAZING. It improved the elasticity of my skin in the nether regions and I've been better since. It's a Tacrolimus ointment - the drug in it is normally used as an immunosuppressent for organ transplants, and the cream itself is generally prescribed for severe echzema. Recent tests on the ointment showed that it was a successful treated for the other vulvar dystrophies that you mentioned above. When you first use it, it gives you a sort of warming sensation - not really painful at all. Then over time you start to notice your skin thickening? I'm not sure the word to describe it, but I really strongly recommend it!


artymuffin - September 17th, 2008 12:36 PM

I haven't had any babies to date - I'm still quite nervous and scared about the whole birthing process, but in the meantime, improving the elasticity of your skin might make you more comfortable...


artymuffin - September 17th, 2008 12:44 PM

Sorry - one more thing, if you go to the FDA dot gov website, they have an info sheet on the product. Click on the Drug Information tab and then type the product name PROTOPIC into the search field. I can't attach the link here due to forum rules.

I never experienced any side effects other than the "burning" sensation they describe - which to me was more of a warming sensation than an uncomfortable burn.



artymuffin - September 17th, 2008 12:48 PM

Hopefully your doctor will prescribe this to you if you're interested - say no to any hydrocortisone treatments. It will worsen your condition. If the doc prescribes this, then he/she isn't doing their job properly. Hydrocortisone will relieve some symptoms - but it can thin the skin even more.

Ok - I'm going to stop blogging this page now before the website kicks me off for spamming. :)


anamariaflorencia - September 17th, 2008 3:49 PM

Thanks artymuffin. I already had my baby and thankfully, my skin cooperated. I do have protopic but wasn't able to use it during pregnancy because it's a category C medication. Now I'm breastfeeding, so I still can't use it. But luckily I went into the delivery room with my skin in good condition. Thanks so much for responding to my post. It was lonely!


artymuffin - September 17th, 2008 4:49 PM

Great!!! I'm so glad it all worked out for you. :)