|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: A case of vulvar painFrom: Diane E. B. Petersen, M.D. (peter261@gold.tc.umn.edu)Thu Sep 5 22:16:22 1996
On Thu, 5 Sep 1996 21:41:28 -0500 (CDT), ob-gyn-l@listserv.bcm.tmc.edu wrote... > >---------- >> 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 >be >> necessary if duct obstruction with ductal cyst or abscess is present on >> exam. >> Diane Petersen >> Minneapolis, MN >> >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 > I would agree that the causes of vulvar pain can be varied, but a key symptom described here is a worsening pain with intercourse and foreplay, in other words arousal, unless I am misinterpreting the authors description of the symptoms. This a distinguishing feature of bartholinitis. I have many patients with vulvodynia/ vulvar vestibulitis involving primarily the intoitus. The pain described by my paitients with bartholinitis is a deep aching pain with arousal, distinctly different from vestibulitis. Patients sometimes are reluctant to get very specific regarding symptoms, especially as it relates to their sex lives. I hope to get your feed-back. Diane Petersen Minneapolis, MN
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:17:16 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.