50 y.o. w/mild lichen sclerosis, labial fusion and early menopausal Sx. Tx'd w/ surgery&hormonal Tx

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Progressive obliteration of size of labia, vulvar/vaginal pain & tightness. Treated pre-op for 3 months w/combined estrogen & testosterone local therapy, then with surgical separation & "curtaining" of the phimotic hood, with ongoing hormonal therapy. She is now doing well with combined hormonal therapy & psychological support. This is not a procedure of excess hood skin reduction associated with labiaplasty.

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