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Re: A case of vulvar painFrom: Gerald P. Rodriguez (geraldpr@roadrunner.com)Thu Sep 5 21:36:21 1996
---------- > From: Diane E. B. Petersen, M.D. <peter261@gold.tc.umn.edu> > To: Multiple recipients of list <ob-gyn-l@listserv.bcm.tmc.edu> > Subject: Re: A case of vulvar pain > Date: Thursday, September 05, 1996 6:59 PM > >>> 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 The etiology of vulvodynia, unfortunatley, is not always so clear, nor is the treatment. There exists a huge body of gyn/derm literature which speaks to the issue vulvar, labial, and/or vestibular pain. There is NO unifying theory of the cause of this disorder, indeed this is most likely a multitude of disorders, with multiple causes. gpr
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