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Re: dyspareuniaFrom: Lynn D. Montgomery (apgar10@ionet.net)Tue Apr 29 09:44:14 1997
a 28 yo G0 >with a 9 yr h/o cyclic pelvic pain initiated by orgasm, ovulation and often >occurring during the week prior to, but not during, menses. Occasionally >the pain is precipitated by anxiety, defecation, and voiding. It is >described as squeezing, twisting, and jabbing in the LLQ and radiates to >left lower back. After the beginning of the pain, there is a 25' period of >projectile vomitting. During this time, there is no bowel or bladder >control and she is forced to sit on the toilet. She has had two >laparoscopies (the most recent a little over a year ago) which showed only >small serosal fibroids, no adhesions or endometriosis. One of my attendings during residency told us that if we discharged a patient with pelvic pain and a normal scope, without a psychiatric consult, he would see that we were kicked out of the program. With this constellation of symptoms, it may be a thought... Lynn
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