Just to update you all ... I followed my gut and researched into other treatments myself. I wasn't happy with the cream that I was prescribed with or with the consultants' competence either. I know that sounds harsh but I have good reasons. The whole thing just didn't sit well with me. I couldn't help but feel the cream was to keep costs down too... I ignored what my consultant told me and made an appointment with my GP, who I didn't see last time (on hindsight I should have seen her first). We discussed the same treatments that I had previously researched myself with her. We both opted for cryotherapy (liquid nitrogen) to freeze the area, which will mean it will crust and drop off. I felt happier with this decision. I'm glad I did my research and persued a different treatment. I can now continue to bf and I didn't have to take any drugs!

Don't go into anything blindly, there are always other treatments. Ask enough questions (my consultant couldn't answer any of mine - they were about the drugs in the cream and about the effects of the drug on my body / bf, SIMPLE questions, he told me to google them as he didn't know. And since he's a consultant and specialises in dermatology you'd expect him to know! He even told me to stop bf. Is the NHS that skint? No I won't wean my son! I've done my fair bit of contribution - offer me another form of treatment god dammit! Sorry for the mini rant!!

I will need one more treatment then will be monitored for a while but hopefully that will be it for me. Fingers crossed.

Sorry excuse my spelling.

Through work i see many people with Bowens. The Iquimod is not a new treatment, we have been using it in the 10 years i have been working. I remember your lesion. Cant comment on the effectiveness of it for each individual, but in your circumstances re feeding if you are considering surgery (which is a simple procedure, ask to be referred to a plastic surgeon who will ensure the minimal scar.

My mother had one removed from her back a few years back and it was far bigger than yours is , and you couldn't even tell after a few months scar wise , she went back again Tuesday as it's come back and spread she has been made a urgent referrel , hopefully she has caught it in time again , if surgery to remove it is a option to you then I would go for that , a scar is a small price to pay for having something like this removed , I hope it all goes smoothly for you wishing you luck in it all , sounds like you've caught it early enough good luck and all the best .

Topical treatments are commonly used for basal and Squamous cell carcinomas. And from what I understand of bowens disease the area/areas can develop into an SCC if left untreated. I don't think it's a case of the NHS doing things as cheaply as possible for wanting to treat topically in the first instance, rather than just cutting something out, especially when it's on someone's face. Excess skin and tissue on the face is limited and often requires skin grafts if the area is too large. However foulkybaby if this is the best course for you then I can't see why they wouldn't agree to this. From your picture the area is relatively small, and a scar would heal well (as long as you are not prone to keloid?) I know how passionate you are about breastfeeding so that might be the best option for you x

Thank you everyone. I'm even considering getting it surgically removed as that would mean no drugs and ill side effects. I'm skeptical of the big pharma and their gagging orders. I feel they've fobbed me off with a cheap drug (£40-£70) so keep costs down. I've read a few bad reviews about this drug. If I went down the surgery route the scar would be on my forehead and even though it's small now they remove healthy tissue around the area so the scar would be quite big. In saying that the cream might not work and can cause permanent discolouration of the skin. At least if I got it surgically removed I know it's at least gone for now, there would be no potential long-term side effects/damage and I can continue to breastfeed.

Firstly, I'm really sorry this is happening to you, but glad it's so treatable hun.

I'm not sure how often you're BF your son now, but would agree with others that if you were hoping to continue for as long as possible then to try and build up a stockpile to use whilst you have to use the cream, and pump and dump whilst using the cream to keep your supply going x

Sorry Hun no advice just thought if bump & wish you luck xx

Hmmm tricky. You need to take this medication.

I'm not sure what you should do. The lactation consultant isn't a gp so the chances are they won't know. Can your gp contact the pharmasuitical company that make this drug? They might have a better understanding. Or be able to give you more information about ingredients so you can determine yourself with gp if anything is likely to be an issue x

If it was me I would personally start pumping and wean baby off for the long run it's better there been no risk for baby. Baby has gotten the best from you milk already. But only you can decide x

Anyway you can pump and store enough to last 6 weeks? And then pump and dump while using the drug? I don't bf so don't know if it's possible