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To Anon (Mom/Midwife) Re Vulvodynia and Pregnancy/DeliveryFrom: Meredith (anonymous@obgyn.net)Sat, 5 Jan 2002 03:09:22 -0600 (CST)
I do appreciate your response from 02 Jan, but we are still in disagreement. You said "Didnt say you were [suffering from fear issues], just saying that I could see that for some it *could* develop into one." But your previous posts included repetitive statements of fear that were not just potential or insinuated: "a big concern that I would have would be how will your fear interfear with delivery." "if perhaps your fears prove true, if an epidural may help over-ride the situation in delivery." "Most women (even those who have fears similar to yours)..." "I am sure it is making the prospect of giving birth more anxiety provoking than it needs to be. I hope you come to a resolution of your anxiety soon." That last statement triggered what another anonymous poster called my "defensive" response. My issue for resolution was not anxiety; my issue to resolve was a constant inflammation and infected state. With the inflammation gone, there is no other issue. Epidurals do not alleviate inflammation, nor are they assured pain relief at the vaginal opening. But I would agree that an epidural might help with fears of pain, and with pain itself, if that were a central issue. My own inflammation has all but disappeared since my last round of Flagyl, so it's probably just been an unfortunate and long cycle of infection. However, I contend that it is important that there not be assumptions of anxiety in discussions of vulvodynia. Assessing this as a fear-based/fear-causing issue wouldn't be unusual. Until very recently, many women with vulvodynia have been told repeatedly that the pain is either imaginary or based on anxiety, but that is changing. My OB and the docs here seem to acknowledge the disorder as a physiologically-based issue, although my OB indicates it is rare to have true vulvodynia. I questioned whether I would have received the "fear" statements in response if I'd limited my concerns over inflammation and pain to a query regarding repeated BV and yeast, rather than mentioning vulvodynia as a possibility. If I misinterpreted, I too apologize. And I apologize for the harsh tone of my previous post.
-- Meredith
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