Patch Testing Meds for the Vulvar Area....(EMMA)

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Hi Ladies, I thought this is a helpful bit of info. Please be 'careful' what you put on the vulvar area...always do a little patch test to make sure you are not allergic to any of the ingredients when trying something new. I would also advise not to use too many things at once. Many Hugs, Chelle C. - M.D. - FACOG "If vulvar itching is the predominant symptom, or there is a history of adverse reaction to a treatment, allergic contact dermatitis should be suspected. Many agents included in topical preparations, e.g., preservatives, cause allergic reactions which can be diagnosed by patch testing (that's why several of us have topicals compounded - to

get rid of the possible vulvar irritants - like inert ingredients ~Chelle). Some common substances that can result in allergic reactions are local anesthetics (e.g., Benzocaine), perfumes, clotrimazole, butalbital, thiabendazole, benzol peroxide, and even topical corticosteriods themselves. A repeated open application test (ROAT) for allergens can be performed by applying the suspected product three times a day to a 5 x 5 cm area on the forearm and then checking for a reaction. If specific allergens are identified in any of the products or treatment agents the patient is using, they should be discontinued immediately."