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Vaginal lacerationFrom: Gordon M. Goldman (goldmang@medicine.wustl.edu)Thu Oct 26 03:05:50 1995
28 y/o WSF nulligravida w/o previous hx of sexual dysfunction or dyspareunia notes p/coital pain and bleeding with new partner last 3 months. Frequency coitus less than previously as he lives distant from pt. but approx. q2-3 wks. No insertional difficulty. Vault admits two finger vag. exam w/o difficulty or occurrence of lesion on routine pelvic in past. Denies being "kinky" in sexual habits or foreplay. Exam reveals superficial friable circular tear in posterior vault about 2.5 cm. proximal to hymenel remnant. Have used lubricant, Valisone, Estrace and even cauterized w/AgNO3, but lesion continues to recur w/coitus. Suggestions?? Biopsy?? Thanks ,
-- Gordon M. Goldman, M.D., FACOG goldmang@medicine.wustl.edu
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