Post-menopausal vaginal atrophic changes

[Guest guest]

What are you all finding to be *clinically* effective in helping to

alleviate the pain/dryness/irritation/friability associated with

post-menopausal vaginal atrophic changes?

 

I'm not looking for what it says in the TCM text books nor am I looking for

suggestions to " treat according to pattern " etc. I've done all that. I'm

looking for what is actually working for your patients, real world...that

may be a bit " outside the box. " Custom Chinese herbal formulas & acupx have

had good results in all other areas of the patient's case except this...I've

been working with this patient fairly consistently for 2 years.

 

Have run hormone panels. Have tried various brands of phytoestrogen creams

applied locally (they burn, so can't get closer than lower abdomen...which

isn't really addressing the issue). I've even had the pt try a compounded

local estrogen cream that a local doc will order for me...this burned even

worse. Same thing w/ personal moisturizers/lubricants - even the ones that

are paraben-free and mineral-oil free, all natural, etc.

 

Found some legit research on taking Radix Pueraria Mirifica (which is

different from what we use as Ge Gen) & improvement of vaginal atrophic

changes...has anyone seen/used this clinically? Unfortunately, googling this

herb takes you to a bunch of " breast enlargement creams. " Does this have a

specific Pin Yin - I haven't found it yet, let alone found a supplier for

it.

 

Have added isoflavones and made dietary changes. Have done/am doing EFA's

(fish oil & flax oil w/ either borage or primrose). These have all been good

for other things, but not making any changes w/ vaginal health. Have tried

slippery elm (raw) internally at mod-high doses (2 tbs/day) again no vaginal

improvement...considering making a suppository out of the slippery elm as

local poultice to try and soothe the irritation - anyone try something

similar? Also considering just raw aloe-vera plant and applying gel from the

fresh plant which is not easy to get unless you've already got a mature

plant (all the aloe vera gel products I've come across seem to be

adulterated). Anyone try anything like that yet? Perhaps a poultice of

slippery elm, aloe vera and vitamin-e? Maybe a Sitz bath w/ decotion of zi

cao, dang gui shen & ???. Patient is very sensitive to essential oils,

otherwise I'd consider carrot seed...

 

Any creative thoughts out there?

 

J

 

________

Joy Keller, LAc, Dipl.OM

Board Certified in Acupuncture & Oriental Medicine

Ramona Acupuncture & Oriental Medicine Clinic

Phone: (760) 654-1040 Fax: (760) 654-4019

www.RamonaAcupuncture.com

 

 

 

[Guest guest]

Joy:

 

You asked for " what works " even if it is outside the

box? What has worked for me is on the other side of

the fence in the allopathic world.

 

You are welcome to contact me off list to continue

this discussion.

 

Best......

 

Kay King, DC, LAc

[Guest guest]

Hi Joy,

I'm not sure what you mean by 'I've done all that' - that's pretty

broad! For the majority of standard Liver Yin Xu type atrophy, I have

had great luck with Qi Ju Di Huang Wan. I use the Min Shan pills from

Mayway. As always, the standard applies - depending on your

differential. Most women respond pretty well within a few weeks.

 

Mayway used to have a better product, Shou Wu Essence, but it's long

been discontinued. I have a bottle and will try to reverse engineer

it one day when I have some free time... still waiting..

Geoff

 

, " Joy Keller "

<JKellerLAc wrote:

>

> What are you all finding to be *clinically* effective in helping to

> alleviate the pain/dryness/irritation/friability associated with

> post-menopausal vaginal atrophic changes?

[Guest guest]

hello

you might try a probiotic ie lactobacillus et al species douche.....and/with an

oral/internal

course of probiotics

please share follow up of this case....thank you

 

sincerely

jahan

 

 

 

--- Joy Keller <JKellerLAc wrote:

 

> What are you all finding to be *clinically* effective in helping to

> alleviate the pain/dryness/irritation/friability associated with

> post-menopausal vaginal atrophic changes?

>

> I'm not looking for what it says in the TCM text books nor am I looking for

> suggestions to " treat according to pattern " etc. I've done all that. I'm

> looking for what is actually working for your patients, real world...that

> may be a bit " outside the box. " Custom Chinese herbal formulas & acupx have

> had good results in all other areas of the patient's case except this...I've

> been working with this patient fairly consistently for 2 years.

>

> Have run hormone panels. Have tried various brands of phytoestrogen creams

> applied locally (they burn, so can't get closer than lower abdomen...which

> isn't really addressing the issue). I've even had the pt try a compounded

> local estrogen cream that a local doc will order for me...this burned even

> worse. Same thing w/ personal moisturizers/lubricants - even the ones that

> are paraben-free and mineral-oil free, all natural, etc.

>

> Found some legit research on taking Radix Pueraria Mirifica (which is

> different from what we use as Ge Gen) & improvement of vaginal atrophic

> changes...has anyone seen/used this clinically? Unfortunately, googling this

> herb takes you to a bunch of " breast enlargement creams. " Does this have a

> specific Pin Yin - I haven't found it yet, let alone found a supplier for

> it.

>

> Have added isoflavones and made dietary changes. Have done/am doing EFA's

> (fish oil & flax oil w/ either borage or primrose). These have all been good

> for other things, but not making any changes w/ vaginal health. Have tried

> slippery elm (raw) internally at mod-high doses (2 tbs/day) again no vaginal

> improvement...considering making a suppository out of the slippery elm as

> local poultice to try and soothe the irritation - anyone try something

> similar? Also considering just raw aloe-vera plant and applying gel from the

> fresh plant which is not easy to get unless you've already got a mature

> plant (all the aloe vera gel products I've come across seem to be

> adulterated). Anyone try anything like that yet? Perhaps a poultice of

> slippery elm, aloe vera and vitamin-e? Maybe a Sitz bath w/ decotion of zi

> cao, dang gui shen & ???. Patient is very sensitive to essential oils,

> otherwise I'd consider carrot seed...

>

> Any creative thoughts out there?

>

> J

>

> ________

> Joy Keller, LAc, Dipl.OM

> Board Certified in Acupuncture & Oriental Medicine

> Ramona Acupuncture & Oriental Medicine Clinic

> Phone: (760) 654-1040 Fax: (760) 654-4019

> www.RamonaAcupuncture.com

>

>

>

[Guest guest]

For a certain " type " of woman, I have used Wen Jing Tang and having

great results for vaginal dryness/atrophy. I recently wrote an

article explaining Wen Jing Tang as a moistening Yin and Jing tonic.

This is based on the work of Huang Huang. If you are interested in

the article, contact me off list and I will send it to you.

 

Sharon

 

 

Sharon Weizenbaum

86 Henry Street

Amherst, MA 01002

413-549-4021

sweiz

www.whitepinehealingarts.com