Re: Vaginal Burning

From: Beverly Miller (bmiller@cleaf.com)
Wed Sep 18 08:45:44 1996


In light of all known data, has anyone checked out her partner???

BJM, RN-midwife Patience Birth & Family Center Texas

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From: 	Larry Kincheloe[SMTP:lkinchel@icnet.net]
Sent: 	Wednesday, September 11, 1996 3:55 AM
To: 	Multiple recipients of list
Subject: Re: Vaginal Burning

>Any comments/suggestions for the following situation: A now pregnant (20 >weeks) woman describes burning with intercourse, most of the time, both >during pregnancy and between pregnancies. No apparent precipitating factors. > No UTI's, no infections, and mainly it's just with intercourse, and no >different when not pregnant. Another OB sent her to a urologist, with which >she had an uncomfortable exam and of course, no UTI. Would this classify as >Vulvodynia? Perhaps lactobacillus overgrowth? Presently we've suggested >more lubrication and perhaps some estrogen cream when she's not pregnant. > >Pat Sonnenstuhl, CNM,ARNP,RH >South Sound Women's Center: 2 CNMs and 3 OB/GYNs >Olympia, WA >cnmpat@aol.com >HTTP://home.aol.com/CNMPAT >September 10, 1996 >6:01 pm >1. copoloscopy for HPV

2. Eliminate all irritants from environmen a.Double rinse panties after washing b.no perfumed or colored toilet paper c. change to low irritant soaps- ivory, baby shampoo d. no vaginal deordorant, or scented tampons/pads 3. Check into low oxalate diets 4. Vegetable oil to decrease daily irritantions 5. Astroglide for sex 6. Topical steroids 7. TIME This is a very frustrating process for doctor and patient and requires a bit of detective work at times. Dr. K





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