You might want to read a thread from back last summer called Does Chamois Buttr really work. I started that one and after all the potions and lotions found that the answer is a good saddle and good shorts. I do think some of the things like Replens and the creams that are applied internally help, too. Is your doctor a cyclist? Is she about your age? I'm 57 and when I finally got the right saddle (I hope) all the problems ended. I'd had real soreness in the soft tissue, but it seems okay now. I'm not really riding that much in these winter months, but when I have been out I've noticed a marked improvement. Good luck!!!