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Re: bladder neck?From: Joanne Bulley, MD (jbulley@cheshire.net)Thu Feb 3 20:49:45 2000
I agree with pretty much all of what has been suggested - interstitial cystitis (no - you do not need + findings on UA for this diagnosis) & the dietary component. Another aspect is a history of abuse - especially sexual, combined with the onset of a new relationship. Women with a past history of sexual abuse have an icreased incidence of urologic dysfunction. With this person's symptoms, I would follow the Dietary and IC components while gently nidging at the abuse history. Not infrequently the presentation of one who has not yet dealt with the PTSD of sexual abuse (they may have counselledon short term emotional components) and the impact on future sexual activity will be pelvic symptoms which eliminate the possibility of sex "indirectly". So be sure to explore this side as well as anatomic causes.
At Thu, 3 Feb 2000, Robert J Woolley wrote:
>
-- Joanne Bulley, MD Keene, NH
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