I understand your concern about your mother’s condition with Vulvar Intraepithelial Neoplasia (VIN). When the extent of VIN is not particularly widespread, it is often possible to manage it surgically under local anesthesia, which can be a viable option even for patients who are frail. Another treatment option could be Imiquimod cream, which sometimes is used to address VIN. However, I must note that this treatment can cause considerable discomfort for some patients.
If the pain associated with VIN is not adequately managed by standard analgesics, I suggest consulting with her general practitioner about prescribing stronger pain relief or perhaps a topical anesthetic such as lidocaine ointment 5%. Additionally, it might be beneficial to seek advice from a pain clinic to explore further strategies for managing her discomfort effectively.
Managing VIN effectively requires a comprehensive approach tailored to each patient’s specific needs and health status. It’s crucial to keep in close communication with healthcare providers to ensure that your mother receives the most appropriate care for her situation.