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Re: GENERAL: Vaginal Pain
From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Thu, 17 Jan 2008 22:01:37 -0600 (CST)
This does not sound like pain from a Bartholin cyst. It sounds more
like levator spasm, or piriformis syndrome, both of which cause
tenderness within the vagina, usually on one side or the other. To
diagnose this, an ob/gyn places one finger in the vagina and presses
against the various muscles. If one or more hurts during the exam, then
it suggests spasm or tenderness of one of the muscle groups. Treatment
depends on the severity, but can include biofeedback, vaginal physical
therapy (yes, there are physical therapists that specialize in this),
vibration therapy, muscle relaxants and even vaginal injections.
Unfortunately some ob/gyn physicians don't know much about these
conditions, so ask yours if he or she has experience with this and, if
not, if she or he can refer you to someone who has. Best wishes,
Ashley Hill
At Thu, 17 Jan 2008, Susan wrote:
>
>I recently noticed my right hip was getting worse and worse muscle pain
>out from a fall on ice a couple of months agao. I went to the
>chriopractor and my whole right hip/pelvic side was out. He adjusted me
>and things felt better. I had felt a pulling sensation around my pelvic
>region on the right side. I could not tell if I was developing a
>vaginal infection, since only itching was present, but no other symptoms
>were present. This summer I was found to have a candia infection and I
>took diflucan but not sure if it really cleared up. I had a bartholin
>gland cyst removed on the LEFT side years ago. I never had 1 symptom
>with the cyst and I never had any other infections. I have no swelling
>or real pain at this time just some itching on inside right side of my
>vaginal area. I am again in the middle of a move and took Metronidazole
>today just in case I had an infection (the physician told me that
>candidas can turn into Bact. Vag) and I feel some of the light pain
>internally is going away. A bartholin gland issue on the right side
>would not present like this would it? I pushed on the right side
>interally and don't have any pain except for some muscle pain. I heard
>when the GLAND really gets infected you get very ill. I have no cyst
>and I'm not red.
>
>thanks....
--
D. Ashley Hill, MD
Division Director, Dept. of Obstetrics and Gynecology
Florida Hospital Orlando
Medical Director
Loch Haven Ob/Gyn Group
235 East Princeton Street, #200
Orlando, Florida 32804
http://www.lochhavenobgyn.com
Please understand that due to time constraints I am unable
to answer any personal emails, therefore they will receive no response.
These comments are general educational comments and should not
be construed as specific medical advice. The best person to
answer your health care questions is your physician or other
health care provider. Thank you very much.
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