Hi, well I'm 42 with 3 boys. My 23 year old is in Japan as he is a United States Marine, my other 2 are twin 17 year olds in their senior year of high school. I'm married and work as a data manager. 2 years ago I was diagnosed with VIN3 and had to have surgery to remove it. 6 months later it came back and I had to have surgery again. This time it has moved and is AIN3. My colorectal surgeon wants me to use topical treatment but my gyno oncologist and my gyno both told me previously that for stage 3 it doesn't tend to work and most people don't use it correctly because it burns and hurts. I am getting a 2nd opinion on treatment but I was wondering if anyone knew what other treatments there are so I know what to ask. The Dr said surgery is not an option as it involves the sphincter muscle. I have tried to research it but it's all centered around HIV+ men who have it and I am not sure if it's different for women. I already have sexual issues from the VIN surgeries and just really want to make the right decision. Thanks for listening.