|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: 19 yr old with vaginismusFrom: Malcolm Griffiths (malcolm@mgriff22.demon.co.uk)Mon Aug 4 09:29:04 1997
In message <33E57F9B.37D8@club-internet.fr>, Bernard Cristalli <bcrist@club-internet.fr> writes >douglas krell wrote: >> >> A older patient of mine brought her 19 yr old daughter in to see me last >> week for a PAP. Upon trying to insert a narrow pederson speculum, it >> was apparent that the patient suffered from vaginismus. The hymen was >> not intact. >> >> She complained of severe pain in the vaginal introitus for as long as >> she could remember. She had never used tampons nor has she had sexual >> intercourse. She never recalls even having touched her own vagina. Her >> 17 year old sister has already had a baby and the patient is now >> beginning to worry that she is not normal. She has a boyfriend who is >> beginning to suspect that there is a problem since the patient shows no >> interest in sexual activity of any kind. >> >-- > >An exam under general anesthesia is not a bad idea. It would allow you >to affirm she's normal. Then refer her to a head shrinker or sexologist. > So far the only real problem is a 19 year old who's difficult to do a pap on. You didn't say she had a complaint. I think it's refreshing that she isn't repaeting the sisters mistake of teenage pregnancy. Not everyone wants to lose their virginity in their teens. If you think she is likely to be about to attempt to try sex with her boyfriend offering contracrtion would be an good idea. What do you want to do a pap on a 19 year old for ? Don't tell me because its the USA ! :-) Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp., LU6 2DT, UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) "But sometimes it's fun :-)" (Griffiths)
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:23:11 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.