Re: 19 yr old with vaginismus

From: Roger Klam, M.D. (tstork2@intrnet.net)
Mon Aug 4 19:10:44 1997


Look carefully for a history of sexual abuse remembered or not.

--
Roger Klam, M.D.

Bernard Cristalli wrote:

> 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. > > -- > Bernard Cristalli MD CNGOF > AIHP - ACCA > Paris - France > http://www.obgyn.net/corresp/cristalli.htm





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