Emma's success story - I think I have finally figured it out.

[Guest guest]

I think I have finally figured it out.

Birth control pills contain progesterone.

Progesterone opposes estrogen and is also described as an

anti-estrogen.

So Dr. Goldstein's formula of .03% estradiol gel plus testosterone

could conceivably be effective for atrophic vestibulitis, which Emma

said was her diagnosis in an earlier post (Message #69357) back on

March 12, 2008.

=====================

" He diagnosed me with Atrophic Vestibulitis due to low-dose

hormonal birth control use, and Pelvic Floor Dysfunction. He did not

belive the nerves had anything to do with my case.

" His treatment plan is to use a topical gel with E and T,

continue PT and take a valium at night to help with the muscle spasms.

Also take warm baths, and to NOT avoid sex - as long as it is pain

free, which sometimes it is for me. "

=======================

He also told her to discontinue the BCP.

When we take BCP we are depriving our bodies of estrogen. That can

cause vulva and vaginal atrophy or atrophic vestibulitis.

Using topical estrogen in a cream such as estrace can possibly

replenish the skin, temporarily, as described by Dr. Willems but it

could be necessary to use it regularly as Dee and others do to keep

the skin plumped up and healthy.

Adding testosterone gel to a higher dosage of estradiol gel (.03%

instead of .01% as in estrace over a period of of several months

apparently " heals " the skin which was " damaged " by the progesterone

in the BCP.

Ora

[Guest guest]

Yes, Ora, I think you have indeed figured it out. In all of Dee's good info, she has mentioned many times that Progesterone actually 'blocks' estrogen 'and' testosterone receptors in the vulvar skin. The topicals can 'unblock' and even increase the amount of E. & T. receptors. Most of the birth control pills are predominantly progestin pills. They usually contain ethinyl estradiol, but the progestin is the most active part of the pill. The link that sent in about Dr. Prudence Hill (?) said that when she began testing her bc pill patients, she found their blood levels of hormones to be extremely low, even in the menopausal range. Imagine what that does to young women still developing! No wonder some women develop vulvar pain. I began taking the pill at 17...no doubt in my mind it messed

me up in more than one way. I wish more studies would come out on the pill. ChelleI think I have finally figured it out.Birth control pills contain progesterone.Progesterone opposes estrogen and is also described as ananti-estrogen.So Dr. Goldstein's formula of .03% estradiol gel plus testosteronecould conceivably be effective for atrophic vestibulitis, which Emmasaid was her diagnosis in an earlier post (Message #69357) back onMarch 12, 2008.===================== "He diagnosed me with Atrophic Vestibulitis due to low-dose hormonal birth control use, and Pelvic Floor Dysfunction. He did notbelive the nerves had anything to do with my case. "His

treatment plan is to use a topical gel with E and T,continue PT and take a valium at night to help with the muscle spasms.Also take warm baths, and to NOT avoid sex - as long as it is painfree, which sometimes it is for me."=======================He also told her to discontinue the BCP.When we take BCP we are depriving our bodies of estrogen. That cancause vulva and vaginal atrophy or atrophic vestibulitis.Using topical estrogen in a cream such as estrace can possiblyreplenish the skin, temporarily, as described by Dr. Willems but itcould be necessary to use it regularly as Dee and others do to keepthe skin plumped up and healthy.Adding testosterone gel to a higher dosage of estradiol gel (.03%instead of .01% as in estrace over a period of of several monthsapparently "heals" the skin which was "damaged" by theprogesteronein the BCP.

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