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Re: Pain with orgasmFrom: Bernard Cristalli (bcrist@club-internet.fr)Sat Aug 16 02:28:56 1997
nalbf@ime.net wrote: > > This case is posted to the list with the patient's permission: > 26 yo G2 P2 who since the birth of her last child two years ago has noticed > severe pain with orgasm. > Her uterus is retroverted > but normal in size and non tender. There is no uterosacral nodularity or > tenderness. Diagnostic laparoscopy showed normal pelvic anatomy with no > endometriosis or adhesions. There is no history of sexual abuse. > > My working hypothesis has been painful uterine contractions during orgasm. That's my opinion too. Is there an IUD?
> How about presacral neurectomy?, ? vag hyst??? No and no. The most effective should be an anterior uterine suspension. Can be made through laparoscopy (Pellanda Abeille procedure). Worth try it if the pain is important or "life style troubling".
-- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm
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