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Re: Vulvodynia and Pregnancy/Delivery -- Clarification to 2nd Question
From: Meredith (anonymous@obgyn.net)
Mon, 31 Dec 2001 00:02:33 -0600 (CST)
My second question was phrased rather naively or foolishly... I know
all women are going to have vaginal pain when delivering.. I am just
concerned about having even more than the norm and perhaps having
excessive trouble due to increased inflammation. We are trying to do
perineal massage to help stretch the tissues -- as much as I can
tolerate, anyway. Just wondering if there are "special" considerations
with vulvoldynia.
Thanks,
Meredith
At Sun, 30 Dec 2001, Meredith wrote:
>
>I've suffered with a vicious cycle of yeast and bacterial vaginosis
>throughout this pregnancy and for a few years beforehand. Aside from
>diagnosed infections, I almost always have pain and burning sensations
>with intercourse and vaginal exams (varying degrees) and about half the
>time no infection is found. The pain is less higher in the vagina -- a
>cervical exam's pressure on the upper areas is not painful, for
>instance. At two exams during the past month I've actually gasped in
>pain and have been told I'm "clenching" at the vaginal entrance-- this
>has never happened to me before during exams, despite pain, and I know
>I'm not nervous or clenching, but I feel very inflamed. After a TV
>special today, I believe I may have vulvodynia, perhaps as an
>aftereffect of chronic yeast infections? The purported reasons for this
>disorder seem to be fuzzy.
>
>1) Can this be diagnosed and treated during pregnancy? I'm almost 35
>weeks and already had some pre-term labor symptoms.
>2) Is vulvodynia known to make delivery more painful? I can only imagine
>that something large coming down to the lower vagina is as painful or
>more so than an exam or intercourse. Are there any specific suggestions
>for pain control when one has vulvodynia? I've been apprehensive about
>the vaginal pain at delivery for weeks, but now that I may have a
>definition for the pain, I hope there is a solution for it... I guess I
>can always request a pudendal block but wondered if this is a commonly
>encountered situation with a solution.
>
>Thanks for any info,
>Meredith
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