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Treatment of vulval vestibulitis with a potent topical steroid
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  1. P E Munday
  1. Watford Sexual Health Centre, Watford General Hospital, Vicarage Road, Watford, WD18 0 HB, UK; pat.munday@whht.nhs.uk

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    Vulval vestibulitis (vestibulodynia) is characterised by penetrative introital pain and erythema and tenderness localised to the vestibular glands.1 The aetiology is unknown and most treatment strategies are based on anecdote.2–5 Some clinicians recommend the use of a topical steroid but there are no published data to support this.

    We designed a randomised double blind crossover study to compare a potent topical steroid, Dermovate ointment (clobetasol propionate 0.05%), with a very mild steroid, 0.5% hydrocortisone ointment. The hydrocortisone acted as a placebo as it was impossible to obtain a matching placebo for Dermovate ointment. To demonstrate a 20% difference between Dermovate and …

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