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Re: vaginal painFrom: J.Glenn Bradley MD (anonymous@obgyn.net)Sun, 12 Jul 1998 10:49:10 -0500 (CDT)
At Sat, 11 Jul 1998, Angela wrote: > >My cousin has experienced pain in the vaginal area for almost two years. >She has seen several doctors and specialists, but nothing has helped. >She was recently diagnosed with vestibolitis, but treatment still did >not help. The past few doctors have been discouraged and have told her >that there is nothing that they can do. She told me that it feels like >she has a bad bladder infection and yeast infection (the pain is >constant burn from the inside and out). She has not had sexual >relations, so therefore it would not appear to be a STD. Do you have >any suggestions of what she can do? Or have you ever heard of anything >like this? She is in need of some advice and the specialists that she >has seen can't offer any help. Angela:If she is having bladder symptoms, I am assuming she has seen a urologist for evaluation. Vestibulitis is a very difficult disease to treat as we do not understand the cause in the first place. Some researchers have attributed it to high oxalate content in the urine,and claim a reduction in symptomatology with a reduction in the oxalate content of the diet; most docs probably do not concur with this opinion however. I have seen a couple of patients in the past who were very successfully treated with medical hypnosis ie they were taught how to "block"the pain. I have had no luck with acupuncture. A low dose neuro transmitter inhibitor such as Elavil 10mg/day may be worth trying. Discuss these options with your GYN. Good Luck Dr.B
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