So I had my follow up visit with the gyne specialist last Friday.
Here’s the skinny. I do not have planus lichen (SO glad I went ahead with the biopsy!) Instead I have a ‘chronic inflammatory skin condition’ of the vulva. Basically, she said that the technician could see that I had a chronic inflammatory condition from the tissue sample.
The worst inflammation, according to her, is right where the red is in this drawing. Do you think that it’s a coincidence that I have a chronic inflammatory condition right at the site of the most serious physical injury I’ve ever had? Nope. Me neither.
Luckily, even though it’s not something with it’s own name [actually it does, I found later], there is a treatment. She gave me a prescription for a really strong steroid ointment. I use a tiny amount on the ‘affected area’ as it says on the jar, and then wash my hands really well, since we don’t want them getting ‘treated’.
I am to use it once a day until my vulva is no longer inflamed, to a maximum of a month, and probably about two weeks. You apparently don’t want to use this steroid daily for longer than that or it makes the skin thin [also wrong, I later found out, you use it as much as needed to get the inflammation managed, and then as much after that to keep it managed, as little as possible though].
After than I am to keep the ointment to use for flare ups, and can use it up to twice a week.
The good news is that it seems to be working. My vulva feels different, not sure exactly how yet. My wife says it looks a lot better and less red. I have had one flare up since I started using it, a bad one, but since I’m having a lot more sex now than I used to, that isn’t entirely surprising.
On the poly relationship front, I have a wife and a girlfriend. Who have met one another. And who seem to like one another. I spend weekdays with my wife and weekends with my girlfriend. My wife also seems to be getting her sex drive back. Yay! This is a very good time to have a well functioning vulva.