WOMENS-HEALTH Messages for June, 1997: Re: Painful intercourse

Re: Painful intercourse

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Mon, 30 Jun 1997 18:06:30 -0500 (CDT)

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At Sun, 29 Jun 1997, Joanne wrote: >
>Hi everyone. I am now 7 weeks post op from my TAH/BSO due to endo. As
>you know I'm still not taking ERT, and don't really know yet, whether I
>am a candidate for it or not, due to PMH, but know that I should be
>without it, for 3-6 months, at least.
>My problem is intercourse. It's a disaster. Never had problems, even
>with the endo, but now, it hurts so bad, with penetration through
>withdrawal. I have tried Vagisil feminine moisturizer, and astroglide,
>using so much, that we should have been "slipping and sliding," but all
>I felt was pain. It's so painful, that any arousal I feel, is gone
>immediately. I'm so uncomfortable afterwards, my whole perineal area
>just throbs.Afterwards, I can't stop crying, due to the emotional upset
>it causes.This is extremely difficult to deal with.
>I'll be calling my RE about the situation, but wondered if any of you
>have any ideas, of what I could do, to improve the situation. At this
>point I don't know if trading endo pain for this, was worth it.
>Thanks.
>
>Joanne
>Other than this problem, I'm feeling great. However this problem

--
Joanne: You alluded to the reason for the hysterectomy as being "endo", which I assume means endometriosis. Unfortunately at the time of surgery, pelvic adhesions may develop that result in significant "scar" tissue at the top of the vagina, with possible loops of bowel becoming adherent to the vaginal cuff. The healing process varies considerably from patient to patient, and is obviously influenced as well by the extent of the pathology for which the procedure was done in the first place.The manner in which the top of the vagina(vaginal cuff) was closed may also have a bearing on post-operative tenderness. IMHO., if no improvement in another 4 weeks or so, consider laparoscopy. If adhesions present, their removal("lysis") may help solve the problem!!
J.Glenn Bradley MD

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Previous message: Amy: "breast tenderness"
In reply to: Joanne: "Re: Painful intercourse"
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