WOMENS-HEALTH Messages for June, 2000: Re: Some questions about my treatment for vulvodynia

Re: Some questions about my treatment for vulvodynia

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 30 Jun 2000 09:03:08 -0500 (CDT)

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At Fri, 30 Jun 2000, Kristy wrote: >
>Hi everyone!!
>
>I originally posted this message for Dr. Marchbein, but I would also like to open this up to the rest of you wonderful drs. :) Here is what I posted shown below.
>
>------------------------------------------------------
>
>------------------------------------------------------
>--
>------------------------------------------------------
>------------------------------------------------------
>I have some other questions for you. About how many of your patients have vulvodynia? Also, what kind of a treatment plan do you use with them?
>------------------------------------------------------
>
>Here's what my dr is doing with me:
>
>1. xylocaine 5% ointment for the pain that isn't strong enough to need pain meds like Darvocet or Lorcet. I also use this ointment before I put on my underwear b/c they irritate me (the cotton ones that I have right now don't irritate as much as the other ones did).
>
>2. Premarin cream in the hopes that it would toughen up the skin in that area.
>
>3. Sitz baths on occasion (latest episode is a cold sitz bath to see if the swelling in the top portion of my vaginal opening will go down) for the burning and itching that I get.
>
>4. Darvocet, Lorcet for when the pain gets so bad that the xylocaine doesn't seem to be enough.
>
>What do you think of this course of treatment? Also should she and I be considering anti-inflammatories as an addition to this current course of treatment.
>
>Also, do you anything about this dr up in NY that wants to work with a drug company in the hopes of finding something better to work with vulvodynia on a long term basis?
>
>We got some rain here in Jacksonville, FL. Hopefully we will get some more rain to keep the temps a little cooler down here.
>
>Take care,
>
>Kristy :)
>

The above is a rational plan for vulvodynia. This is one of those situations where it is important to have a physician you trust and stick with her/him. It frequently requires a long time and multiple diferent regimens to get somewhere with this.

RDB

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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Next message: Ginger: "Sperm motility/IUI"
Previous message: R. Daniel Braun, MD: "Re: Possible Blighted Ovum?? Pls Help No longer a Blighted OVum"
In reply to: Kristy: "Some questions about my treatment for vulvodynia"
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