Re: A case of vulvar pain

From: Jason Gardosi (jason.gardosi@nottingham.ac.uk)
Tue Aug 27 10:39:44 1996


At 07:17 27/08/96 -0500, Patrick S. Pevoto wrote: >I have a patient who is 24yo complaining of 2 to 3 days of vulvar (actually
>labial pain) for 2 to 3 days, whether with intercourse or foreplay only.
>She has no history of HSV or other STD, and all lab in that regard has been
>negative. Her physical exam is normal.
>
>The description she renders is almost analogous to a male having priapism.
>Has anyone had a patient with similar complaints? Any ideas as to therapy?

I would first suspect a (? partial) blockage of Bartholin's duct. There may be a small and/or intermittent cyst. The case I saw presented with similar symptoms, and were relieved by marsupialisation.

Jason

--
Jason Gardosi MD FRCS MRCOG
OB/GYN, Queen's Medical Centre, University of Nottingham
http://www.ccc.nottingham.ac.uk/~mgzobgyn/PRAM/




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