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Pathophys and Cause ⬇

Cause:Perhaps due to decreased testosterone levels

Treatment ⬆

Rx:

Strong topical steroids (J Reprod Med 1993;38:25, Brit J Derm 1991;124:461)

Testosterone 2% topically bid (Nejm 1984;310:488), but causes masculinizing side effects (ObGyn 1997;89:297)