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CAREDOWNTHERE
CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease ABOUT US | CAREDOWNTHERE About Us. The CareDownThere team is made of up a group of Australian health professionals with an interest and experience in vulval problems. The group includes dermatologists, gynaecologists, a pain management specialist,a sexual health physician, a psychologist and a pelvic floor physiotherapist. TREATMENT - MEDICAL ADVICE Cause redness and a burning sensation. Cause stretch marks around the anal area. The first 2 side effects recover rapidly when the cream is stopped. Cortisone does not produce permanently thin skin when used on the vulva. If you have accidentally used too much cortisone, the side effects will wear off when you stop it.LUMPS AND BUMPS
Lumps and Bumps. The vulva is one of the lumpiest and bumpiest parts of the body, and these normal lumps and bumps tend to increase in both number and /or size with age. Lots of cysts are caused by sweat glands which have been blocked: the sweat then can’t escape and a cyst forms. These tend to occur along lines of friction, especially whereLICHEN SCEROSUS
The classic appearance of LS is a white patch on the outside of the vulva but not going into the vagina. The surface looks slightly wrinkly. Sometimes you may notice splits, blood blisters or purple spots. The surface can feel rough and thickened. The distribution of LS is also very variable. The classic textbook description is of afigure of
LICHEN PLANUS
Lichen planus is a disease that affects the skin but also the inside of the mouth and vagina. In rare cases it also involves the anal canal and can extend into the tube that goes from your mouth to your stomach (the oesophagus). LP is a vary variable condition. That means it has many different forms. DIV - MEDICAL ADVICE Medical Advice DIV What is DIV? DIV (which stands for Desquamative Inflammatory Vaginitis) is an uncommon condition which results in a sore vagina with a chronic discharge.MYTHS ABOUT THRUSH
Myths and Suggestions Myths About Thrush The majority of itchy vulval conditions are due to thrush. Acute thrush is very common, everyone has heard of it and it even features on advertisements on television for anti-fungal treatments.VULVAL ECZEMA
Medical Advice Vulval Eczema Most itchy/scratchy problems down there are caused by some form of eczema, and most types of eczema on the vulva are the same as similar problems you might have on other partsof your skin.
MYTHS ABOUT HORMONE REPLACEMENT THERAPY Myths and Suggestions Myths About Hormone Replacement Therapy If the antifungal cream hasn’t worked try some oestrogen cream. Unless your periods have stopped or you are breastfeeding, oestrogen cream is not going to help you and if you have thrush it can make it worse.CAREDOWNTHERE
CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease ABOUT US | CAREDOWNTHERE About Us. The CareDownThere team is made of up a group of Australian health professionals with an interest and experience in vulval problems. The group includes dermatologists, gynaecologists, a pain management specialist,a sexual health physician, a psychologist and a pelvic floor physiotherapist. TREATMENT - MEDICAL ADVICE Cause redness and a burning sensation. Cause stretch marks around the anal area. The first 2 side effects recover rapidly when the cream is stopped. Cortisone does not produce permanently thin skin when used on the vulva. If you have accidentally used too much cortisone, the side effects will wear off when you stop it.LUMPS AND BUMPS
Lumps and Bumps. The vulva is one of the lumpiest and bumpiest parts of the body, and these normal lumps and bumps tend to increase in both number and /or size with age. Lots of cysts are caused by sweat glands which have been blocked: the sweat then can’t escape and a cyst forms. These tend to occur along lines of friction, especially whereLICHEN SCEROSUS
The classic appearance of LS is a white patch on the outside of the vulva but not going into the vagina. The surface looks slightly wrinkly. Sometimes you may notice splits, blood blisters or purple spots. The surface can feel rough and thickened. The distribution of LS is also very variable. The classic textbook description is of afigure of
LICHEN PLANUS
Lichen planus is a disease that affects the skin but also the inside of the mouth and vagina. In rare cases it also involves the anal canal and can extend into the tube that goes from your mouth to your stomach (the oesophagus). LP is a vary variable condition. That means it has many different forms. DIV - MEDICAL ADVICE Medical Advice DIV What is DIV? DIV (which stands for Desquamative Inflammatory Vaginitis) is an uncommon condition which results in a sore vagina with a chronic discharge.MYTHS ABOUT THRUSH
Myths and Suggestions Myths About Thrush The majority of itchy vulval conditions are due to thrush. Acute thrush is very common, everyone has heard of it and it even features on advertisements on television for anti-fungal treatments.VULVAL ECZEMA
Medical Advice Vulval Eczema Most itchy/scratchy problems down there are caused by some form of eczema, and most types of eczema on the vulva are the same as similar problems you might have on other partsof your skin.
MYTHS ABOUT HORMONE REPLACEMENT THERAPY Myths and Suggestions Myths About Hormone Replacement Therapy If the antifungal cream hasn’t worked try some oestrogen cream. Unless your periods have stopped or you are breastfeeding, oestrogen cream is not going to help you and if you have thrush it can make it worse. ABOUT US | CAREDOWNTHERE About Us. The CareDownThere team is made of up a group of Australian health professionals with an interest and experience in vulval problems. The group includes dermatologists, gynaecologists, a pain management specialist,a sexual health physician, a psychologist and a pelvic floor physiotherapist.SEE YOUR DOCTOR IF
The discharge that is normal for you changes. Your discharge gets so heavy you have to wear a pad all the time. You develop vaginal bleeding in between your periods. You experience bleeding after sex. You experience pain with sex. You have an ulcer on your vulva. You develop a new lump. You notice a colour change: white or brown.MEDICAL ADVICE
Medical Advice Vulval Pain What is vulvodynia? If you have been searching the internet looking for answers about vulval pain you will have come across the term "vulvodynia" and have probably been confused about what it means.MEDICAL EXAMS
Medical Advice Medical Exams What will happen when you see a doctor about a vulval problem? There is probably nothing more embarrassing than going to a doctor with a problem “down there”, particularly if in addition to feeling sore or itchy, you are also having problemswith being able to
PSORIASIS - MEDICAL ADVICE Psoriasis is a very common skin condition found in at least 2% of the population. Many people have heard of psoriasis, but it is not well known that it can cause very long standing itchy red rashes on the vulva. Typical psoriasis looks like raised red areas with white scale, most often found on the tips of your elbows and the front of theknees.
SAFER SEX - LIFESTYLE Lifestyle Safer Sex What is Safer Sex? Safer sex is more than avoiding infections, although this is often main message in safer sex discussions. Safer sex is about physical and emotional wellbeing in intimate relationships, where sex is based on consent and partners accept responsibility for reducing the risk of sexually transmitted infections (STI) and unplanned pregnancy. VAGINOSIS - MEDICAL ADVICE Medical Advice Bacterial Vaginosis What is BV? Bacterial vaginosis, or BV, is the commonest cause of abnormal vaginal discharge in women from puberty to menopause.CHRONIC THRUSH
Chronic Thrush (also known as Candida) Thrush is a type of fungus that is found in the human body, particularly the vagina, mouth and inside your intestines. It is a very common problem. About 70% of women will have an attack at least once in their life. The cost of treating thrush is enormous and in the USA it has been estimated to be about a DISCHARGE - WHAT'S NORMAL What's Normal Discharge Vaginal Discharge. Just like any other physical characteristic, the amount of normal discharge varies a lot from woman to woman. SOME FACTS ABOUT THE VULVA Pain with urination. Pain with sex. Discharge and wetness. Dryness. Feeling like there are cuts on your skin. Stinging when you apply creams. Crawling or stabbing feelings. Just being aware that you have a vulva. If you experience anything like this, it is not normal and you don’t have to put up with it.CAREDOWNTHERE
CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease ABOUT US | CAREDOWNTHERE About Us. The CareDownThere team is made of up a group of Australian health professionals with an interest and experience in vulval problems. The group includes dermatologists, gynaecologists, a pain management specialist,a sexual health physician, a psychologist and a pelvic floor physiotherapist. TREATMENT - MEDICAL ADVICE Cause redness and a burning sensation. Cause stretch marks around the anal area. The first 2 side effects recover rapidly when the cream is stopped. Cortisone does not produce permanently thin skin when used on the vulva. If you have accidentally used too much cortisone, the side effects will wear off when you stop it.LUMPS AND BUMPS
Lumps and Bumps. The vulva is one of the lumpiest and bumpiest parts of the body, and these normal lumps and bumps tend to increase in both number and /or size with age. Lots of cysts are caused by sweat glands which have been blocked: the sweat then can’t escape and a cyst forms. These tend to occur along lines of friction, especially whereLICHEN SCEROSUS
The classic appearance of LS is a white patch on the outside of the vulva but not going into the vagina. The surface looks slightly wrinkly. Sometimes you may notice splits, blood blisters or purple spots. The surface can feel rough and thickened. The distribution of LS is also very variable. The classic textbook description is of afigure of
DIV - MEDICAL ADVICE Medical Advice DIV What is DIV? DIV (which stands for Desquamative Inflammatory Vaginitis) is an uncommon condition which results in a sore vagina with a chronic discharge.LICHEN PLANUS
Lichen planus is a disease that affects the skin but also the inside of the mouth and vagina. In rare cases it also involves the anal canal and can extend into the tube that goes from your mouth to your stomach (the oesophagus). LP is a vary variable condition. That means it has many different forms.MYTHS ABOUT THRUSH
Myths and Suggestions Myths About Thrush The majority of itchy vulval conditions are due to thrush. Acute thrush is very common, everyone has heard of it and it even features on advertisements on television for anti-fungal treatments. MYTHS ABOUT HORMONE REPLACEMENT THERAPY Myths and Suggestions Myths About Hormone Replacement Therapy If the antifungal cream hasn’t worked try some oestrogen cream. Unless your periods have stopped or you are breastfeeding, oestrogen cream is not going to help you and if you have thrush it can make it worse. SOME FACTS ABOUT THE VULVA Pain with urination. Pain with sex. Discharge and wetness. Dryness. Feeling like there are cuts on your skin. Stinging when you apply creams. Crawling or stabbing feelings. Just being aware that you have a vulva. If you experience anything like this, it is not normal and you don’t have to put up with it.CAREDOWNTHERE
CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease ABOUT US | CAREDOWNTHERE About Us. The CareDownThere team is made of up a group of Australian health professionals with an interest and experience in vulval problems. The group includes dermatologists, gynaecologists, a pain management specialist,a sexual health physician, a psychologist and a pelvic floor physiotherapist. TREATMENT - MEDICAL ADVICE Cause redness and a burning sensation. Cause stretch marks around the anal area. The first 2 side effects recover rapidly when the cream is stopped. Cortisone does not produce permanently thin skin when used on the vulva. If you have accidentally used too much cortisone, the side effects will wear off when you stop it.LUMPS AND BUMPS
Lumps and Bumps. The vulva is one of the lumpiest and bumpiest parts of the body, and these normal lumps and bumps tend to increase in both number and /or size with age. Lots of cysts are caused by sweat glands which have been blocked: the sweat then can’t escape and a cyst forms. These tend to occur along lines of friction, especially whereLICHEN SCEROSUS
The classic appearance of LS is a white patch on the outside of the vulva but not going into the vagina. The surface looks slightly wrinkly. Sometimes you may notice splits, blood blisters or purple spots. The surface can feel rough and thickened. The distribution of LS is also very variable. The classic textbook description is of afigure of
DIV - MEDICAL ADVICE Medical Advice DIV What is DIV? DIV (which stands for Desquamative Inflammatory Vaginitis) is an uncommon condition which results in a sore vagina with a chronic discharge.LICHEN PLANUS
Lichen planus is a disease that affects the skin but also the inside of the mouth and vagina. In rare cases it also involves the anal canal and can extend into the tube that goes from your mouth to your stomach (the oesophagus). LP is a vary variable condition. That means it has many different forms.MYTHS ABOUT THRUSH
Myths and Suggestions Myths About Thrush The majority of itchy vulval conditions are due to thrush. Acute thrush is very common, everyone has heard of it and it even features on advertisements on television for anti-fungal treatments. MYTHS ABOUT HORMONE REPLACEMENT THERAPY Myths and Suggestions Myths About Hormone Replacement Therapy If the antifungal cream hasn’t worked try some oestrogen cream. Unless your periods have stopped or you are breastfeeding, oestrogen cream is not going to help you and if you have thrush it can make it worse. SOME FACTS ABOUT THE VULVA Pain with urination. Pain with sex. Discharge and wetness. Dryness. Feeling like there are cuts on your skin. Stinging when you apply creams. Crawling or stabbing feelings. Just being aware that you have a vulva. If you experience anything like this, it is not normal and you don’t have to put up with it.SEE YOUR DOCTOR IF
The discharge that is normal for you changes. Your discharge gets so heavy you have to wear a pad all the time. You develop vaginal bleeding in between your periods. You experience bleeding after sex. You experience pain with sex. You have an ulcer on your vulva. You develop a new lump. You notice a colour change: white or brown.MEDICAL ADVICE
Medical Advice Vulval Pain What is vulvodynia? If you have been searching the internet looking for answers about vulval pain you will have come across the term "vulvodynia" and have probably been confused about what it means.NATURAL PRODUCTS
Lifestyle Natural Products What does it really mean to be "natural"? When we think about a natural product, it usually conjures up images of something that is really safe and that is free of chemicals and anything “man made”. CARING FOR YOUR SKIN DOWN THERE Essential Information Caring for your skin down there Cleansing. Just in case you have been wondering if your vulval problem is happening because you aren’t washing enough.you don’t have a hygieneproblem.
MEDICAL EXAMS
The first is a VAGINAL SWAB. This is done simply by inserting a long cotton bud into your vagina. It only needs to be inserted a couple of centimetres. If you have blisters, another swab will be taken from a blister. The second test is called a VULVAL BIOPSY which means cutting out a very small sample of skin about 3mm in diameter. NORMAL VULVAL & VAGINAL ANATOMY The fact is, what they are seeing could be perfectly normal. Vulvas change throughout the menstrual cycle, and can become a little swollen and a bit lumpier just before a period. Normal skin cysts also can get bigger and feel a little sore at this time. All this is perfectly normal. Things down there change as a woman gets older. SAFER SEX - LIFESTYLE Lifestyle Safer Sex What is Safer Sex? Safer sex is more than avoiding infections, although this is often main message in safer sex discussions. Safer sex is about physical and emotional wellbeing in intimate relationships, where sex is based on consent and partners accept responsibility for reducing the risk of sexually transmitted infections (STI) and unplanned pregnancy.GENITAL WARTS
Medical Advice Genital Warts. Genital warts are a very common sexually transmitted infection. They are caused by the Human papillomavirus (HPV). There are many different types of HPV.VULVAL ECZEMA
Don't be scared to use it. See Caring for your skin down there and follow those instructions. Put your 1% hydrocortisone ointment on the itchy spot twice a day for one week. If this hasn’t helped, hopefully you will have been able to see your health professional by then. A word of caution: everyone tends to assume that vulval itch isusually
SOME FACTS ABOUT THE VULVA Pain with urination. Pain with sex. Discharge and wetness. Dryness. Feeling like there are cuts on your skin. Stinging when you apply creams. Crawling or stabbing feelings. Just being aware that you have a vulva. If you experience anything like this, it is not normal and you don’t have to put up with it.CAREDOWNTHERE
CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease ABOUT US | CAREDOWNTHERE About Us. The CareDownThere team is made of up a group of Australian health professionals with an interest and experience in vulval problems. The group includes dermatologists, gynaecologists, a pain management specialist,a sexual health physician, a psychologist and a pelvic floor physiotherapist. TREATMENT - MEDICAL ADVICE Cause redness and a burning sensation. Cause stretch marks around the anal area. The first 2 side effects recover rapidly when the cream is stopped. Cortisone does not produce permanently thin skin when used on the vulva. If you have accidentally used too much cortisone, the side effects will wear off when you stop it.LUMPS AND BUMPS
Lumps and Bumps. The vulva is one of the lumpiest and bumpiest parts of the body, and these normal lumps and bumps tend to increase in both number and /or size with age. Lots of cysts are caused by sweat glands which have been blocked: the sweat then can’t escape and a cyst forms. These tend to occur along lines of friction, especially whereLICHEN SCEROSUS
The classic appearance of LS is a white patch on the outside of the vulva but not going into the vagina. The surface looks slightly wrinkly. Sometimes you may notice splits, blood blisters or purple spots. The surface can feel rough and thickened. The distribution of LS is also very variable. The classic textbook description is of afigure of
DIV - MEDICAL ADVICE Medical Advice DIV What is DIV? DIV (which stands for Desquamative Inflammatory Vaginitis) is an uncommon condition which results in a sore vagina with a chronic discharge.LICHEN PLANUS
Lichen planus is a disease that affects the skin but also the inside of the mouth and vagina. In rare cases it also involves the anal canal and can extend into the tube that goes from your mouth to your stomach (the oesophagus). LP is a vary variable condition. That means it has many different forms.MYTHS ABOUT THRUSH
Myths and Suggestions Myths About Thrush The majority of itchy vulval conditions are due to thrush. Acute thrush is very common, everyone has heard of it and it even features on advertisements on television for anti-fungal treatments. MYTHS ABOUT HORMONE REPLACEMENT THERAPY Myths and Suggestions Myths About Hormone Replacement Therapy If the antifungal cream hasn’t worked try some oestrogen cream. Unless your periods have stopped or you are breastfeeding, oestrogen cream is not going to help you and if you have thrush it can make it worse. SOME FACTS ABOUT THE VULVA Pain with urination. Pain with sex. Discharge and wetness. Dryness. Feeling like there are cuts on your skin. Stinging when you apply creams. Crawling or stabbing feelings. Just being aware that you have a vulva. If you experience anything like this, it is not normal and you don’t have to put up with it.CAREDOWNTHERE
CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease ABOUT US | CAREDOWNTHERE About Us. The CareDownThere team is made of up a group of Australian health professionals with an interest and experience in vulval problems. The group includes dermatologists, gynaecologists, a pain management specialist,a sexual health physician, a psychologist and a pelvic floor physiotherapist. TREATMENT - MEDICAL ADVICE Cause redness and a burning sensation. Cause stretch marks around the anal area. The first 2 side effects recover rapidly when the cream is stopped. Cortisone does not produce permanently thin skin when used on the vulva. If you have accidentally used too much cortisone, the side effects will wear off when you stop it.LUMPS AND BUMPS
Lumps and Bumps. The vulva is one of the lumpiest and bumpiest parts of the body, and these normal lumps and bumps tend to increase in both number and /or size with age. Lots of cysts are caused by sweat glands which have been blocked: the sweat then can’t escape and a cyst forms. These tend to occur along lines of friction, especially whereLICHEN SCEROSUS
The classic appearance of LS is a white patch on the outside of the vulva but not going into the vagina. The surface looks slightly wrinkly. Sometimes you may notice splits, blood blisters or purple spots. The surface can feel rough and thickened. The distribution of LS is also very variable. The classic textbook description is of afigure of
DIV - MEDICAL ADVICE Medical Advice DIV What is DIV? DIV (which stands for Desquamative Inflammatory Vaginitis) is an uncommon condition which results in a sore vagina with a chronic discharge.LICHEN PLANUS
Lichen planus is a disease that affects the skin but also the inside of the mouth and vagina. In rare cases it also involves the anal canal and can extend into the tube that goes from your mouth to your stomach (the oesophagus). LP is a vary variable condition. That means it has many different forms.MYTHS ABOUT THRUSH
Myths and Suggestions Myths About Thrush The majority of itchy vulval conditions are due to thrush. Acute thrush is very common, everyone has heard of it and it even features on advertisements on television for anti-fungal treatments. MYTHS ABOUT HORMONE REPLACEMENT THERAPY Myths and Suggestions Myths About Hormone Replacement Therapy If the antifungal cream hasn’t worked try some oestrogen cream. Unless your periods have stopped or you are breastfeeding, oestrogen cream is not going to help you and if you have thrush it can make it worse. SOME FACTS ABOUT THE VULVA Pain with urination. Pain with sex. Discharge and wetness. Dryness. Feeling like there are cuts on your skin. Stinging when you apply creams. Crawling or stabbing feelings. Just being aware that you have a vulva. If you experience anything like this, it is not normal and you don’t have to put up with it.SEE YOUR DOCTOR IF
The discharge that is normal for you changes. Your discharge gets so heavy you have to wear a pad all the time. You develop vaginal bleeding in between your periods. You experience bleeding after sex. You experience pain with sex. You have an ulcer on your vulva. You develop a new lump. You notice a colour change: white or brown.MEDICAL ADVICE
Medical Advice Vulval Pain What is vulvodynia? If you have been searching the internet looking for answers about vulval pain you will have come across the term "vulvodynia" and have probably been confused about what it means.NATURAL PRODUCTS
Lifestyle Natural Products What does it really mean to be "natural"? When we think about a natural product, it usually conjures up images of something that is really safe and that is free of chemicals and anything “man made”. CARING FOR YOUR SKIN DOWN THERE Essential Information Caring for your skin down there Cleansing. Just in case you have been wondering if your vulval problem is happening because you aren’t washing enough.you don’t have a hygieneproblem.
MEDICAL EXAMS
The first is a VAGINAL SWAB. This is done simply by inserting a long cotton bud into your vagina. It only needs to be inserted a couple of centimetres. If you have blisters, another swab will be taken from a blister. The second test is called a VULVAL BIOPSY which means cutting out a very small sample of skin about 3mm in diameter. NORMAL VULVAL & VAGINAL ANATOMY The fact is, what they are seeing could be perfectly normal. Vulvas change throughout the menstrual cycle, and can become a little swollen and a bit lumpier just before a period. Normal skin cysts also can get bigger and feel a little sore at this time. All this is perfectly normal. Things down there change as a woman gets older. SAFER SEX - LIFESTYLE Lifestyle Safer Sex What is Safer Sex? Safer sex is more than avoiding infections, although this is often main message in safer sex discussions. Safer sex is about physical and emotional wellbeing in intimate relationships, where sex is based on consent and partners accept responsibility for reducing the risk of sexually transmitted infections (STI) and unplanned pregnancy.GENITAL WARTS
Medical Advice Genital Warts. Genital warts are a very common sexually transmitted infection. They are caused by the Human papillomavirus (HPV). There are many different types of HPV.VULVAL ECZEMA
Don't be scared to use it. See Caring for your skin down there and follow those instructions. Put your 1% hydrocortisone ointment on the itchy spot twice a day for one week. If this hasn’t helped, hopefully you will have been able to see your health professional by then. A word of caution: everyone tends to assume that vulval itch isusually
SOME FACTS ABOUT THE VULVA Pain with urination. Pain with sex. Discharge and wetness. Dryness. Feeling like there are cuts on your skin. Stinging when you apply creams. Crawling or stabbing feelings. Just being aware that you have a vulva. If you experience anything like this, it is not normal and you don’t have to put up with it.CAREDOWNTHERE
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WHEN YOU’VE GOT A PROBLEM 'DOWN THERE'... ...WHERE CAN YOU TURN FOR HELP?INTRODUCTION
So many women with itch, pain and many other problems involving the genital area suffer in silence because they are just too embarrassed to seek help. And so many of them describe themselves as being “inagony”.
Treatment that is safe and works quickly and effectively is available and it may change your life. If you feel like getting help is just too difficult, if you are hitting one brick wall after the other, read on.WHO'S IT BY?
CareDownThere is written by a team of Australian Health Professionals with special expertise in treating vulval disease. The information you will find here is up to date and practical. This website contains the facts and tells you all you need to know about your problem and what you can do about it.WHAT'S NORMAL
Find out what is okay for you. Click here for more information. ESSENTIAL INFORMATION Some basic information to start with. Click here for more information.TEENAGERS
Is there something you are worried about but don’t know who to ask. Click here for more information.GLOSSARY
Find out what medical terms mean. Click here for more information.COPYRIGHT
Disclaimer & Terms of Use Website designed by Spencer Wu*
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RELATED LINKS
* Australian & New Zealand Vulvovaginal Society * Dermnet New Zealand * Australasian College of Dermatologists * Royal Australian & New Zealand College of Obstetrics andGynaecology
* MyDoctor
* Gynaecological Cancer Society of Australia * Family Planning Organisation of NSW * Australian Society of Gynaecologic Oncologists PROUDLY SUPPORTED BYDetails
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