Any comments appreciated
OK. I made some errors with my post. I have estradiol cream 0.01. Use 1/4 applicator same as 1gm nightly. Since approx April 10. Had follow up with my ob gyn earlier this werk. Had pelvic US done June 22. Have ovarian cyst both ovaries . Benign . Repeat US in january 2027. My ob gyn did say to try tapering aka lowering my dosage of vaginal estrogen. From all of your comments I will be checking again with my pharmacy and the practice tommorow to re verify dose. I said quarter of tube nightly. I made error. My ob gyn said if my tapering of dosage did not work symptoms flared I could resume origional dose. 3 days earlier this werk after my visit I used 0.5 gm or 1/2 of the 1/4 of the applicator. My BP in the evening when I check is approximately 110/ 70. The other rxs I take are lamotrigine ER 100mg daily seizure prophylaxis escitalopram 20mg daily lisinopril 10 mg daily levothroxine 150mcg daily. Acetaminophen naproxen prn melatonin 10 mg daily. Clobetasol twice daily. I am to continue that dose. My symptoms itching pain are greatly improved. What does still cause irritation is bowel movements. I have ibs pelvic floor dysfunction .I also take docusate and fiber . I did not use dove sensitive bar soap in the area tonight in the shower. Anyone - nurse- please respond. Appreciate it. Research says local estrogen may lower my serum levels of lamotrigine by 50% before I began the local estrogen my lamotrigine level was 2.0. Not therapeutic. Had cranitomy may 2014 to remove abcess left temporal lobe from bacterial meningitis of my brain from chronic sinusitis. My eeg show breach rhythm abnormal but non epileptic due to skull defect. I will always be high risk for seizures though. I am licensed to drive. Have never had seizure activity. My neuroligist said ok to vaginal estrogen. Would not causd seizure activity. My ob gyn said this treatment would not cause seizure activity either. Also- for BMs I completely soak small amount TP with water and wipe. Any comments thank you.