-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Peri-Arousal Bartholinodynia Bilateralis From: Efrain Ramirez (eramirez@icepr.com) Thu Mar 29 04:02:09 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "Re: Depo provera and lactation" Previous message: Rafael Haciski MD: "Re: Gen: Job Shadowing" In reply to: ainsron@msn.com: "Re: Peri-Arousal Bartholinodynia Bilateralis" Looks like a good idea - maybe mixed wih xylocaine. At Wed, 28 Mar 2001, ainsron@msn.com wrote: > >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 > -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte Next message: Dean Huffman: "Re: Depo provera and lactation" Previous message: Rafael Haciski MD: "Re: Gen: Job Shadowing" In reply to: ainsron@msn.com: "Re: Peri-Arousal Bartholinodynia Bilateralis"

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: Mon Nov 2 04:47:51 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.