|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Gyn: levator ani syndromeFrom: DoctorJoe@aol.comFri Jul 21 21:45:50 2000
In a message dated 7/21/00 9:07:53 PM, dahmd@cfl.rr.com writes: << Fortyish multiparous (vaginal x 2) patient with intense, spasmodic vaginal pain following a transvaginal hysterectomy and anterior and posterior repair done elsewhere about a year ago. No vulvar pain, discharge, or prior history of this. Now cannot tolerate vaginal penetration despite "normal" relations with same gentleman for many years. Physical exam reveals no atrophy, vaginitis, prolapse, significant cysto/rectocele or rectovaginal abnormalities. Excruciating pain even with single finger exam of entire vaginal circumference. Not with penetration, but with gentle pressure on walls of vagina. No distinct trigger points. >> How "tight" is the result of the A&P repair? Would their be any place for a pudendal block and some stretching? Or is that way off base? Joe P.
|
|
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 04:47:02 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.