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Re: vaginal tearing/HELP DR MARCHBEINFrom: anonymous@obgyn.netMon, 30 Oct 2000 20:42:09 -0600 (CST)
Help, Dr Marchbein, Where do you suggest I look for such a specialist???? I have no idea where, I live in between NY and Philadelphia, which university do you suggest I try? What is a vulvar specialist listed under? I work in pathology, but do not feel comfortable asking for any referrals from the docs I work with. Thank You, willow At Sun, 29 Oct 2000, Harvey S. Marchbein, M.D. wrote: > >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 > >**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 ;-) > >Please be aware that all e-mail on this forum is archived and can be viewed at >http://forums.obgyn.net/womens-health, >http://forums.obgyn.net/pregnancy-birth or >http://forums.obgyn.net/young-women >and is accessible to anybody on the >internet including internet search engines. This should be taken into >consideration before sending postings of a personal or confidential nature. >
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