Brief Answer:
DETAILS ARE GIVEN BELOW.

Detailed Answer:
Hello,

Thanks for writing to us. Followings are my comments:

1) Potent topical steroid cream (like CLOBETASOL etc) is the MOST EFFECTIVE treatment protocol for Hypertrophic Vulvar Dystrophy. It is basically used to thin out the skin and relieve the presenting symptoms.

2) Vulvar pain will gradually REDUCE with the course of treatment. You can use an ice pack for soothing effect and possibly a topical anesthetic like Xylocaine. Tri-Cyclic Antidepressant (TCA) group of drugs - specially SNRI and Pregabalin are also useful to treat excruciating neuropathic pain. Kindly, consult with your doctor for complete prescription.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself.

Regards,
Dr Soumen

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

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