Dermal atrophy

Patient: What are the chances of atrophy when using topical betamethasone valerate cream 0.1% in quite large amounts (maybe double dose) on genital area once or twice a week for a few months, whilst on GnRH-A therapy?

Symptoms: irritation (especially after friction), soreness, urinary frequency, occasional short stabbing aches (usually unilateral)

Doctor: