Re: Vestibular pain

From: Andrew Folley (agfolley@hotmail.com)
Fri Oct 7 18:26:44 2005


Try either xylocaine or marcaine with epi m ixed with 100 mg solumedrol. Also consider Zonalon cream applied topicaly to effected area bid for several weeks.

>From: "Lynn D. Montgomery, M.D." <apgar10@montanadsl.net>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Vestibular pain
>Date: Fri, 7 Oct 2005 16:18:33 -0500
>
>Listers,
>I know a related subject was just discussed, but I would like suggestions.
>I have a patient with two small areas on each side of the vestibule that
>are
>extremely tender and preclude intercourse or even tampon use. I would like
>to inject them. I have used local combined with steroid, but I also know
>those who use alcohol in an effort to permanently "desensitize" the area.
>What steroid do y'all use (dose, etc) and does anybody have any experience
>with the alcohol injection.
>Lynn
>
>Lynn D. Montgomery, M.D.
>Maternal-Fetal Medicine, OB/GYN
>Rocky Mountain Women's Health
>2835 Fort Missoula Rd., Suite 304
>Missoula, Montana, 59804
>406-549-0978
>fax 406-549-0987
>e-mail: apgar10@montanadsl.net
>





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