WOMENS-HEALTH Messages for October, 2000: Re: vaginal tearing/HELP DR MARCHBEIN

Re: vaginal tearing/HELP DR MARCHBEIN

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 31 Oct 2000 14:20:14 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Re: vaginal tearing/HELP DR MARCHBEIN"

Manhattan and Philly both have great University hospitals. Start with which ever one is closest and call the gyn department for a Vulvar specialist. If you find one, great. If not, go to the next University hospital.

Hope this helps and write back anytime for more information.

HSM

At Mon, 30 Oct 2000, anonymous@obgyn.net wrote: >
>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.
>>

--
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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