On Thursday 07 October 2004 20:21, Automatic digest processor wrote:
> I received a call from a G3P3 who is having extremely painful
intercourse.
> She states that her physician prescribed a topical application of
> Betamethasone which provides some relief as long as she uses it. She was
> told she may have to stop breastfeeding because it is the hormones of
> breastfeeding that are causing this problem. Her perineal area is
reddened
> when she does not use the cream. I suggested that she call a
dermatologist
> she sees and that I would post to you. She has had one period and the
next
> one is due in about 2 weeks. Any thoughts?

How old is the youngest?

Is she having any other symptoms to indicate yeast might be a problem?
Did the MD actually do a microscope smear?

I presume she has tried the usual tricks of extra lubrication, allowing
plenty of time for foreplay, etc?

Has the MD considered the possibility of prescribing some topical estrogen
cream?

These are the only thoughts that I have off the top of my head.


--
-Elisa H. Casey, MSN, ARNP
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