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Re: 19 yr old with vaginismusFrom: Ealgail@aol.comTue Aug 5 00:03:44 1997
In 14 years of practice and 4 years of residency, I have never seen a case of vaginismus. So, take this for what it is worth. In a 19 year old with pain and a vaginismus response to exam, who denies intercourse but appears to have a non-intact hymen; an initial thought is child sexual abuse or rape; and a psychological or psychiatric denial of its having happened. How can she never have touched her vagina?? Maybe she doesn't know exactly where it is and an anatomy lesson, first with a book and then with a mirror would help. Bernard's suggestion of EUA will give you some information and talking to her mother (if she agrees) might give a clue. Good luck. Linda Linda Morrison-Boczar, MD, MBA, FACOG Private Practice - Sarasota, FL Advisory Board, OBGYN.net
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