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Re: any idea??? From: Harvey S. Marchbein, M.D. (hmarchbein@worldnet.att.net) Mon Mar 10 16:20:14 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mats Bergstrom: "Re: Vicryl" Previous message: Ira Mark Bernstein: "Re: vulvodynia/tophats/coconuts" In reply to: Tony Blair: "Re: any idea???" At Sun, 9 Mar 1997, Tony Blair wrote: > >Dear listmembers, > I need some sugggestions for this problem: > >14 yo white female patient, menarche at 12. Never had sex. Have vulvodynia >since two yr. Very intense vulvar pruritus, day and night. This young girl >is very comprehensive and collaborative. Cannot tolerate this symptom anymore... > >-exam is negative (hymen intact) >-cultures are negatives: no fungus >-no chemical: soap, lotion, perfumes, etc >-tried : antifungals (empirically) and steroids creams; topical estrogen or >testosterone; Elavil with no > result at all... > >Any idea on the etiology of this vulvar itching. What else to try/to do Not to be glib, but concise, consider 1)Sexual abuse (not necessarily intravaginal) 2)Tight jeans 3)Vulvar vestibulitis -- Harvey Harvel the Marvel Harvey S. Marchbein, M.D. FACOG, FACS President-elect Nassau Obstetrical and Gynecological Society, Inc. OBGYN.net U.S. Representative, New York http://www.obgyn.net/states/bios/marchbein.htm Private practice, Long Island, N.Y. ********************************* It's better to be lucky than to be smart. Even smart people can have an off day! ********************************* Next message: Mats Bergstrom: "Re: Vicryl" Previous message: Ira Mark Bernstein: "Re: vulvodynia/tophats/coconuts" In reply to: Tony Blair: "Re: any idea???"

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