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Re: Vulvodynia From: quinnobgyn@aol.com Thu Mar 1 13:57:54 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: quinnobgyn@aol.com: "Re: adenomyosis and US" Previous message: Dr Eberhard Lisse: "Re: Gen: Newborn Circumcision - The Kindest Cut of All?" If vulvodynia is around the fourchette then it is usually due to persistent straining to achieve defecation. The lesion is perivascular nerve fiber proliferation and it responds to 1) stop straining 2) reduce pelvic blood flow - GnRH can be very helpful while the first is being achieved. If 1) is confirmed as aetiology then avoid vestibulectomy. Refeences available. Regards -----Original Message----- From: eramirezt@coqui.net To: ob-gyn-l@dns.obgyn.net Sent: Mon, 19 Feb 2007 8.10PM Subject: Vulvodynia Any suggestions for a nulligravid patient with true vulvodynia? Ef -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: quinnobgyn@aol.com: "Re: adenomyosis and US" Previous message: Dr Eberhard Lisse: "Re: Gen: Newborn Circumcision - The Kindest Cut of All?"

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