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Re: Is this vulvodynia? From: Joanne Bulley, MD (islesannie@gmail.com) Fri Nov 28 16:58:04 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Is this vulvodynia?" Previous message: Joanne Bulley, MD: "Re: Is this vulvodynia?" In reply to: Charlie Chambers: "Re: Is this vulvodynia?" Also - there is my post from August 08 with a link to the powerpoint on LSC: http://forums.obgyn.net/ob-gyn-l/OBGYNL.0808/0375.html Joanne At Fri, 28 Nov 2008, Marilyn Ringstaff wrote: > >I have a patient who has had dyspareunia (at introitus) & constant >irritation–symptoms for > a year, initially had erythema at 5 & 7 >o'clock, now has very shallow ulcerative lesions ~ 2-3 mm-present for a >couple of mos. Monogomous/male partner with no symptoms, herpes culture >of lesions negative, no STD history, labs including Herpes Select are >negative, culture of the lesions pending. Urine culture is negative. >Wet Mount (-) except for small amt yeast and treated now twice w/o >relief of symptoms. She tried Nuvaring and s/s got worse, now using >only condoms for contraception- & tried diff kinds/non-latex, etc. We've >gone all through the vulvodynia 'self-help' checklist from the NVA >(http://www.nva.org/new_patient_guide/index.html) without any changes. >>From what I've read of vulvodynia, erythema can be present, but lesions >aren't typical, I colpo'd the area and there are no acetowhite areas- so >didn't biopsy/didn't want to make symptoms worse. > >Would you biopsy? Would yeast cultures be helpful? Other thoughts? > >Thanks, Marilyn > >-- >Marilyn Ringstaff, CNM, JD >Rome, Georgia > -- Joanne Bulley, MD solo gyn Keene, NH Next message: R. Daniel Braun: "Re: Is this vulvodynia?" Previous message: Joanne Bulley, MD: "Re: Is this vulvodynia?" In reply to: Charlie Chambers: "Re: Is this vulvodynia?"

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