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Re: Dyspareunia From: Andrew Folley (agfolley@hotmail.com) Fri Oct 28 13:31:44 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Breast cancer" Previous message: Henry Gregor: "Re: Tamoxifem & Mirena" In reply to: Atkinson, Samuel M: "Re: Dyspareunia" Next in thread: Joanne Bulley, MD: "Re: Dyspareunia" Reply: Joanne Bulley, MD: "Re: Dyspareunia" Sam I am not looking to treat her IC but I think her problem is more with levator ani involuntary spasm with coitus. I was looking for some choices for her and I know Botox has been used but seems to be expensive. andy >From: "Atkinson, Samuel M" <ATKINSONS@mail.ecu.edu> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: RE: Dyspareunia Date: Fri, 28 Oct 2005 12:07:00 -0500 > >kkClassically, hydrodistension of bladder is a treatment with varying >results. Obviously requires general anes. Instilling DMSO 50 is >another Therapy. Would suspect that the IC is the cause of Dyspareunia. >Have reviewed an article not yet in print on Botox for muscle spasms and >vulvodynia that reports +- results. Is she a horseback person riding >english saddle. Frank Greiss wrote an article on equestrian dyapareunis >in such a patient. >sAm > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew >Folley >Sent: Friday, October 28, 2005 10:03 AM >To: Multiple recipients of list OB-GYN-L >Subject: RE: Dyspareunia > >26ye wf healthy married 3 years. Sever pain with intercourse past two >years. Hx of Interstitial cystitis. Pelvic not revealing minimal >tenderness. Husband states he feels a ridge or band 1/3 of way in >vagina >with coitus. > >Sounds like vaginismus with pelvic floor myalgia to me. I have tried >her on >neurontin with no relief. Empiric course of elmiron in light of her IC >no >relief. Any other thoughts or anecdotal treatments besides vaginal >dilators? > Some relief with Xanax berfore relations. I was hoping to be able to >inject something in the pelvic sidewalls? Steorids? marcaine? Botox >seems >to be good for everything? >andy > _________________________________________________________________ On the road to retirement? Check out MSN Life Events for advice on how to -- _________________________________________________________________ get there! http://lifeevents.msn.com/category.aspx?cid=Retirement Next message: Henry Gregor: "Re: Breast cancer" Previous message: Henry Gregor: "Re: Tamoxifem & Mirena" In reply to: Atkinson, Samuel M: "Re: Dyspareunia" Next in thread: Joanne Bulley, MD: "Re: Dyspareunia" Reply: Joanne Bulley, MD: "Re: Dyspareunia"

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