I have read on this forum that prolonged testosterone administration in females can change the shape of the vulva, but that following retirement things usually gradually return to normal. Unfortunately this is not the case with Arlie and she is a potential surgery candidate. I would appreciate your experiences and thoughts. Here is the story:
We don't have the commonly associated UTI issues, thankfully, but she does lick the area persistently, and her anus for good measure, so both are usually pretty sore looking.
We have been treating the "natural" route - cleaning with a baby wipe, drying, applying cornstarch as you would baby powder, and then Unda 270 ointment, which is like vaseline with herbal additions. This works well as long as you do it religiously twice a day, but things regress badly if you miss even one day.
We went back to the clinic on Saturday and now are using Surulan instead of the Unda product. This is a prescription product containing antibiotics and a small amount of cortisone. The idea is to see if this works better over a two week period, and if yes, then to gradually decrease the frequency of application until we establish the maintenance regimen.
If it doesn't work, then surgery to restore the area to normal is recommended. My vet tells me there are generally no complications beyond the usual for any procedure involving anaesthesia, unless she rips the stitches out.
Would those of you who have been through this please comment on whether the topical approach was sustainable for you long term, and if not, what you chose to do; if surgery, what was the outcome?
Many, many thanks!