Re: vaginal tearing
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 29 Oct 2000 10:21:01 -0600 (CST)
You have an excellent grasp of your medical situation and your hormone
status. It's not reasonable, from your history, that these vulvar
effects should be happening from "menopausal changes" and Megace is not
know to have that effect.
It may be time to seek a vulvar specialist at the nearest University
hospital for some real answers to some real quesions.
Unfortunately, vulvar complaints are not diagnosable over the internet
...... yet.
Hope this helps direct your care.
HSM
At Sat, 28 Oct 2000, willow wrote:
>
>Hi,
>I had a TVH on 6/8/00 for persistant endometrial hyperplasia and
>cervical dysplasia. I was put on Megace in Januaray as an attempt to
>stop the hyperplasia. I only took this med for 2 weeks when I had to
>stop because of bad side effects. Ever since that time, I have
>experienced tearing in the perineal area of my vulva. My gyn has put me
>on Premarin Cream. Despite 4 weeks of using this cream, I stiil tore
>when we resumed sexual intercourse. My LH and FSH levels have tested
>normal. I do not have hot flashes or any other menopausal symptoms that
>would indicate that my ovaries are not working. I am very frustrated.
>My gyn told me to keep using the Premarin and call if this keeps
>happening. I am afraid of lichen sclerosis or VIN. I think there has
>to be a reason for this to keep happening. We are using lubrication. My
>other concern is that I have severe spinal stenosis in my lumbar/sacral
>spine and I am afraid that there has been nerve damage in the sacral
>plexius. I would appreciate any ideas or opinions.
>Thank You,
>Willow
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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