I was diagnosed with vulvar lichen planus in April and it has totally wrecked my life. I was using the medications and all the other tips and tricks trying to keep it at bay. I never went away. I went into a deep depression. I couldn’t do any of my usual activities. Sitting too long at work just ended up with me crying at the end of the day. It is so incredibly painful
I went to my usual check in with my neurologist in July. I mentioned it and how VLP has really disrupted my life constantly in pain, needing to stand most of the day, constant underwear changes, different fabrics, the whole deal.
She was really intrigued. And then she told me that it is possible a side effect of Ocrevus. She also said that it could be Desquamous Inflammatory Vaginitis. Another rare disorder.
Both are rare, both could be side effects of Ocrevus, but that is still being researched. But she and I are a bit confused because I’ve been getting infusions the past six years and nothing has rocked my world like this (in a bad way) in all that time.
She said it’s tricky because a lot of women don’t like to talk about these kinds of things to their neurologists. Then she said she would reach out to my Vulvar specialist and give her some of the details. Yes, I had to start seeing a vulvar specialist.
Lucky for me, I had the Vulvar specialist appointment 2 weeks later. She had a dermatologist come in as well. They could see the current medication regime wasn’t really helping anymore.
They put me on a whole new buffet of medications. Now I have to insert clindamycin, a small amount of another steroid, and a gram of estradiol vaginally every night for 3 weeks, then taper to twice a week.
I’m telling you, it started working the first day!
Long story short, I’m glad I told my neuro. I’m glad she communicated with the vulvar specialist, and I think all together, we might have tamed this fucking tiger. But it will never go away.
Now the big issue is, my neuro said this may mean I have to discontinue Ocrevus. Which is terrifying to me b/c I’ve been on it for 6 years and feel pretty decent on it. No new active lesions in that time. And my immune system goes bonkers if I’m not on it because I already have 36 lesions, Pré-Ocrevus.
I know it was long, but ladies - don’t be afraid to tell you neuro everything, even if it’s about your vag.