For a patient with atrophic vaginitis or lichen sclerosus et atrophicus, itching is a main concern. To decrease use of a vaginal steroid cream, you can have the patient put either shortening or olive oil, first thing in the morning after voiding, on their toilet paper and wipe with it. It does cut down on the itching, with a noticeable difference right away. In the first few days, use this technique about 2 to 3 times a day, and then after that just once a day or more often if the patient has a flare-up.—VIRGINIA JONES, FNP, AP/MHNP, Lecanto, Fla. (213-3)

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