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Re: Is this vulvodynia? From: R. Daniel Braun (rd.braun@gmail.com) Fri Nov 28 17:42:36 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Cheri Van Hoover: "Re: Is this vulvodynia?" Previous message: Joanne Bulley, MD: "Re: Is this vulvodynia?" In reply to: Charlie Chambers: "Re: Is this vulvodynia?" Reply: Efrain Ramirez: "Re: Is this vulvodynia?" Does she have any oral lesions?? Dan On Fri, Nov 28, 2008 at 5:26 PM, Marilyn Ringstaff < marilyn.ringstaff@obgyn.net> 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 > -- R. Daniel Braun, MD FACOG(L) ABMP CMTh Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine -- R. Daniel Braun "Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941 Next message: Cheri Van Hoover: "Re: Is this vulvodynia?" Previous message: Joanne Bulley, MD: "Re: Is this vulvodynia?" In reply to: Charlie Chambers: "Re: Is this vulvodynia?" Reply: Efrain Ramirez: "Re: Is this vulvodynia?"

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