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Re: A case of vulvar painFrom: Diane E. B. Petersen, M.D. (peter261@gold.tc.umn.edu)Thu Sep 5 19:56:43 1996
The patient with recurrent labial pain with intercourse or foreplay probably has bartholinitis. It is difficult to diagnosis, findings on exam would include palpation of the Bartholin's gland deep at approx. 4 or 8 o'clock from the introitus. The gland is not normally palpable but may be in the patient with recurrent inflammation. It may not be tender unless patient has been symptomatic recently. Treatment is with tub soaks, warm compresses and occassionally antibiotics. Surgical management would only be necessary if duct obstruction with ductal cyst or abscess is present on exam. Diane Petersen Minneapolis, MN
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