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Re: Peri-Arousal Bartholinodynia Bilateralis From: ainsron@msn.com Wed Mar 28 10:26:36 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Old-timer (was - RE: Savonarola)" Previous message: Bolupe: "help with my research!" In reply to: Marco A. Pelosi, III, MD: "Peri-Arousal Bartholinodynia Bilateralis" Next in thread: Efrain Ramirez: "Re: Peri-Arousal Bartholinodynia Bilateralis" Reply: Efrain Ramirez: "Re: Peri-Arousal Bartholinodynia Bilateralis" I'ld probably try a steroid injection before considering alcohol, much like I would a trigger point injection for any other localized pain process that is not responding to the other modalities. >A 32-year-old nullipara with a history of left-sided Bartholin abscess >treated by I&D 6 years ago presented with progressive severe pain within >both Bartholin glands, only during arousal, for 1 year. Med/surg >history is negative. > >Both glands are pea-sized, firm & nontender to palpation. Bilateral FNA >& cultures were negative for infection. > >Empiric therapy with antibiotics, tub baths, and pre-coital NSAIDS was >ineffective. An atropine-based asthmatic inhaler provided partial >relief by reducing systemic mucus secretion, but pain is still >significant. Bartholinectomy has been refused. I have considered >direct injection of alcohol into the glands, but am reluctant to risk >injury to critical branches of the pudendal nerves. > >Any ideas? > >-- >M.A. Pelosi, III, MD > -- Ronald E. Ainsworth, MD Next message: Braun, R. Daniel: "Re: Old-timer (was - RE: Savonarola)" Previous message: Bolupe: "help with my research!" In reply to: Marco A. Pelosi, III, MD: "Peri-Arousal Bartholinodynia Bilateralis" Next in thread: Efrain Ramirez: "Re: Peri-Arousal Bartholinodynia Bilateralis" Reply: Efrain Ramirez: "Re: Peri-Arousal Bartholinodynia Bilateralis"

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