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Re: Is this vulvodynia? From: Joanne Bulley, MD (islesannie@gmail.com) Fri Nov 28 16:56:27 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Is this vulvodynia?" Previous message: Charlie Chambers: "Re: Is this vulvodynia?" In reply to: Charlie Chambers: "Re: Is this vulvodynia?" This sounds more like Lichen Simplex Chronicus. Probably needs a biopsy. google: lynette margesson vulvodynia and lynette margesson lichen simplex chronicus And you will get links to powerpoint presentations she has available with pictures and such. She writes for the textbooks for derm and gyn. And she moved to NH and is a great resource. She also gives talks with Hope Haefner (U Mich - and was a med student there when I was a resident). Hope told me we are lucky here in NH to have Lynn & that she wishes she had as good a derm/gyn person in Michigan. Joanne At Fri, 28 Nov 2008, Marilyn Ringstaff wrote: > >I have a patient who has had dyspareunia (at introitus) & constant >irritation–symptoms for > a year, initially had erythema at 5 & 7 >o'clock, now has very shallow ulcerative lesions ~ 2-3 mm-present for a >couple of mos. Monogomous/male partner with no symptoms, herpes culture >of lesions negative, no STD history, labs including Herpes Select are >negative, culture of the lesions pending. Urine culture is negative. >Wet Mount (-) except for small amt yeast and treated now twice w/o >relief of symptoms. She tried Nuvaring and s/s got worse, now using >only condoms for contraception- & tried diff kinds/non-latex, etc. We've >gone all through the vulvodynia 'self-help' checklist from the NVA >(http://www.nva.org/new_patient_guide/index.html) without any changes. >>From what I've read of vulvodynia, erythema can be present, but lesions >aren't typical, I colpo'd the area and there are no acetowhite areas- so >didn't biopsy/didn't want to make symptoms worse. > >Would you biopsy? Would yeast cultures be helpful? Other thoughts? > >Thanks, Marilyn > >-- >Marilyn Ringstaff, CNM, JD >Rome, Georgia > -- Joanne Bulley, MD solo gyn Keene, NH Next message: Joanne Bulley, MD: "Re: Is this vulvodynia?" Previous message: Charlie Chambers: "Re: Is this vulvodynia?" In reply to: Charlie Chambers: "Re: Is this vulvodynia?"

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