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Re: vulvar vestibulitisFrom: dahmd@gate.netMon Apr 1 16:30:47 1996
Regarding vulvar vestibulits: I have treated 2 patients recently who had persistent pain after episiotomy repairs due to scar tissue at the perineum, and used a combination of depo-medrol and marcaine injected into the tender area, similar to therapy used for "trigger points." Both patients wanted to hold off on surgery as long as possible, and the injections (1 for each patient) have thus far worked great (no more dypareunia). It was ridiculously simple. I have not tried this for vulvar vestibulitis, but do not see why it would not work well on those little, erythematous, tender areas on the vulva. I have had the best sucess with the "tincture of time" and some viscous lidocaine while waiting, as the pain often goes away after a few months. I think surgical therapy is a last resort. Ashley Hill D. Ashley Hill, M.D. dahmd@gate.net
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