How to tell my doc that I'm only interested in depigmentation...

I finally scheduled an appointment with a derm for next week to discuss depigmentation. I've had this disease for 17 years and have come to accept it. I don't tan anymore which keeps my spots a secret for about 3/4 of the year. My pale complexion is part of my overall "look". If I woke up with my old tan tomorrow, I'd have to completely overhaul my wardrobe and cosmetic routine! I actually really like my complexion...if it were even. I've been doing my homework on depigmentation for a few years now, and only within the last 3 years have I decided that yes, this is definitely the course of action that would make me happiest.

The last time I saw a derm and actually discussed my vitiligo was almost 15 years ago. I was tired of my parents wasting money on ineffective treatments, so I kinda gave up and learned to live with it.

My only issue is how to tactfully tell a doctor that I'm only interested in depigmentation. I'm well aware that there have been new developments in treatment in the last 15 years, but to be perfectly honest, unless they've found a permanent cure, I'm not interested. Just make me all one color!

Any advice on how to politely hedge suggestions for unwanted treatment while staying firm with my final decision?

Replies

Hector May 13, 2010 at 10:57am

Just be clear from the let go that you aren't interested in any treatment, that you want to depigment fully, if you have over 50% vitiligo the doctor will probably agree with you.

I would recommend you though, to visit a psychologist just to make sure you are OK with this decision. I know you've had it for 17 years and you have accepted it, nevertheless it will have a profound psychological impact on you if you aren't yet prepared for it, a couple of sessions won't do you any harm.
- Ali Marie > Hector May 13, 2010 at 11:30am
  
  Good call, Hector. I have been seeing a psychologist for a number of years, and the subject of my vitiligo has been a frequent discussion. His main concern was that I take time to think it over, which I took about 3 years to think over.
  I'm not sure about being 50%, but then again, I'm terrible at math and haven't had a derm look at anything other than the odd freckle here and there since I was 12. I'm trying not to get my hopes up too much (part of the reason I 86'ed the derm visits so long ago).
  
  Thanks for the input, Hector.

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