Geometry.Net - Health_Conditions: Vulvodynia

Diseases And Conditions -- Discovery Health -- Vulvodynia
vulvodynia is the medical term for pain the in the vulva area of a women'sbody. The vulvodynia By Gail Hendrickson, RN, BS. vulvodynia
http://health.discovery.com/diseasesandcond/encyclopedia/3057.html

Extractions: vulvodynia By Gail Hendrickson, RN, BS Vulvodynia is the medical term for pain the in the vulva area of a women's body. The term is generally reserved for chronic pain in the vulva with no known cause. What is going on in the body? The vulva is a general term for the external part of a woman's genitals. The vulva includes the area of skin directly above the vagina, the clitoris, the inner and outer labia or lips of the vagina, the opening to the vagina, and the urethra. The urethra is the tube that carries urine from the bladder to the outside of the body. Pain in the vulva can be due to many known conditions. These include infection, injury, and allergic reactions to medications , soaps, or feminine products. If no cause can be found, the condition is called vulvodynia. What are the signs and symptoms of the condition? Symptoms of this condition include: discomfort in the vulva area. This is often described by affected women as pain, burning, stinging, itching, aching, stretching, throbbing, or irritation. pain only when pressure is applied to the opening of the vagina. This usually only occurs in a subtype of vulvodynia known as vulvar vestibulitis. The vestibule is a term that describes the opening to the vagina. In this subtype, redness is often seen in the painful area during flare-ups. Pain may make sexual intercourse impossible, and may even be aggravated by walking, sitting, or riding a bike.
Rowan's Resources: Fibromyalgia And Vulvodynia
Rowan's Resources Fibromyalgia and vulvodynia Resources All of thesebooks are available in the Bookstore on this site. vulvodynia.
http://www.branwen.com/rowan/fibrovulvo.htm

Extractions: Fibromyalgia and Vulvodynia Resources This page contains resources on two interrelated disorders, fibromyalgia syndrome (FMS) and vulvodynia. I first developed symptoms of both of these illnesses in the later half of 1994. I was finally diagnosed with FMS and chronic fatigue syndrome in July of 1996 and with vulvodynia in December of that same year. I was lucky, most people with fibromyalgia and/or vulvodynia suffer much longer before being appropriately diagnosed, and even longer before receiving effective treatment. Fibromyalgia and Chronic Fatigue Syndrome Symptoms of fibromyalgia include flu-like body aches, muscle pain and stiffness, fatigue, sleep disturbances, irritable bowel syndrome (alternating diarrhea and constipation), and difficulty with concentration and memory, among others. Effective treatments can include low doses of antidepressants (for their pain-reducing effect), pain medications of sufficient strength, physical/massage therapy, and the slow introduction of a daily exercise program. Many people with FMS have also found some relief through nutritional supplements such as malic acid . Fibromyalgia is similar to chronic fatigue syndrome and some experts believe they are the same disorder. People with fibromyalgia often fit the criteria for both diseases. The causes of fibromyalgia and chronic fatigue syndrome are not known. Many women with fibromyalgia also have vulvodynia. LINKS Camilla Cracchiolo's Home Page information on AIDS, chronic fatigue syndrome and fibromyalgia syndrome, general medical topics, and herbal medicine.
Vulvodynia - Gynecology At BellaOnline
You Are Here HOME Health Fitness Gynecology Articles. HeatherC. Guidone is BellaOnline's Gynecology Host. vulvodynia. vulvodynia
http://www.bellaonline.com/articles/art278.asp
Cystitis And Vulvodynia
Subject cystitis and vulvodynia Topic Area Cystisis Forum The Urology ForumQuestion Posted By Dianne on Wednesday, April 29, 1998 I have suffered from
http://www.medhelp.org/perl6/urology/archive/615.html

Extractions: I have suffered from vulvodynia for a long time. I've done all the regular things like experiment with anti-depressants, low-oxylate diet, xylocaine, etc. Periodically, I also have all the symptoms of a UTI. When I go to my internist, no infection shows up. However, I have read that IC and vulvodynia often exist together. I have read a lot about both conditions. I went to a urologist with my concerns that perhaps my urinary frequency, discomfort was somehow related to the vulvodynia. He did a urinalysis, saw no sign of infection, and promptly dismissed me and my concerns. Is there a possible link between these two conditions so that even though no infection shows in my urine, something really is there? Is there a medical specialty that combines gynecology and urology? If so, where could I get a directory of those doctors? Thanks very much!
Vulvodynia Articles, Support Groups, And Resources
vulvodynia articles, support groups, and resources for patients from MedHelp International (www.medhelp.org). Health vulvodynia. Medical
http://www.medhelp.org/HealthTopics/Vulvodynia.html
Vulvodynia: Vulvar Pain
vulvodynia Vulvar Pain. What is vulvodynia? What causes vulvodynia? The actualcause of vulvodynia is unknown; it may be the result of multiple factors.
http://www.womenshealth.org/a/vulvodynia_vulvar_pain.htm

Extractions: Vulvodynia is defined as chronic vulvar discomfort or pain that can last anywhere from a few months to a few years. Vulvar vestibulitis is a type of vulvodynia in which pain is only experienced when pressure is applied to the vestibule, which is the area surrounding the entrance to the vagina. In this condition, pain commonly occurs during sex and during insertion of tampons. The main symptoms of vulvodynia are burning, stinging, irritation or rawness in the female genitalia. Burning sensations are the most common symptom, but the pain associated with vulvodynia is different for every woman. Vulvodynia varies in persistence and location. A woman may experience constant or intermittent pain and it may be localized or diffuse. In many cases pain occurs spontaneously. What causes vulvodynia?
Vulvodynia
vulvodynia is a painful disease affecting millions of women, yet the disorder continuesto be treated with a lack of significance by medical and lay societies
http://www.hcgresources.com/vulvodynia.html

Extractions: Painful Vulvar Condition Affects Millions of Women, Yet Remains Underdiagnosed and Undertreated Vulvodynia is a painful disease affecting millions of women, yet the disorder continues to be treated with a lack of significance by medical and lay societies alike. Characterized by the International Society for the Study of Vulvovaginal Disease as "chronic vulvar discomfort or pain," symptoms of Vulvodynia include burning, stinging, irritation or rawness of female genitalia. In many cases, the pain occurs spontaneously. With Vulvar Vestibulitis, a form of Vulvodynia, pain is experienced only when pressure is applied to the vestibule (the area surrounding the entrance to the vagina). According to the National Vulvodynia Society, Vulvodynia is also sometimes referred to as pudendal neuralgia. As with most chronic pain states, Vulvodynia can have a profound, negative impact on a woman's quality of life, interfering with her ability to function on a daily basis. Women with the disease are often unable to engage in sexual activity due to extreme pain, and find themselves unable to work, care for themselves or their family, or participate in a social life. These effects are far-reaching and can ultimately lead to a negative self-image and depression. A survey by the National Vulvodynia Association found the average age of women with Vulvodynia to be 43, but age ranges have been reported from 11-75 years.
Vulvodynia
National vulvodynia Association. A nonprofit organization for women withvulvodynia and related disorders. vulvodynia Support. womens health.
http://www.webworldindex.com/html/Health/Womens_Health_/Vulvodynia/

Extractions: Search What's New Top Hits Modify Listing Top ... Womens Health > Vulvodynia National Vulvodynia Association A nonprofit organization for women with vulvodynia and related disorders. Rate it Review It Vulvar Health about the vulva and vulvar disorders Rate it Review It Vulvodynia Support womens health Rate it Review It Vulvodynia Information Web Portal First stop for exploring an extensive collection of research on vulvodynia, chronic vulvar pain. Rate it Review It Vulvodynia Homepage Vulvodynia literally means pain in the vulva. It is characterized by itching, burning, stinging or stabbing in the area around the opening of the vagina. Rate it Review It Site Sponsor : (Sponsored links are unrelated to the category.) your ad here! Add your URL to this category
Vulvar Vestibulitis & Vulvodynia Resource Guide
Vulvar Vestibulitis vulvodynia Resource Guide. Click to subscribe to the VulvarDisordersEmail Mailing List This book does address vulvodynia specifically.
http://www.angelfire.com/hi/HeidiHomePage/index1.html

Extractions: Appropriate candidates will be between the ages of 18-45, menstruating, not pregnant and diagnosed with either vulvar vestibulitis or essential vulvodynia for at least six months. IF YOU ARE CURRENTLY ON BIRTH CONTROL MEDICATION, YOU ARE ESPECIALLY NEEDED. They are also looking for volunteers to be part of the control group which will consist of women who don't suffer from chronic vulvar pain.
Vulvodynia
vulvodynia. National vulvodynia Association. vulvodynia Information forwomen suffering from vulvodynia. Many links available on vulvodynia.
http://www.health-nexus.org/vulvodynia1.htm

Extractions: Health-Nexus.Com Health-Nexus.Net The #1 Health information site Search Health-Nexus for: Match ALL words Match ANY word Email this page to a friend ! Post a question or comment on our Message Board Home Page Health Specialties Health News ... Alternative Health Options Substance Abuse Animal Health Search: Books Magazines Video Keywords: Find it Here Vulvodynia Vulvar Pain Foundation - Vulvodynia Nonprofit organization provides support services and information and promotes research for disorders surrounding vaginal pain.
CCHS Clinical Digital Library
vulvodynia Patient/Family Resources. Miscellaneous. Vaginitis Access document. Miscellaneousvulvodynia Patient/Family Resources Healthfinder (US DHHS) Homepage
http://cchs-dl.slis.ua.edu/patientinfo/gynecology/vaginaldiseases/vulvodynia.htm

Extractions: Patient/Family Resources by Topic: Gynecology Vulvodynia Patient/Family Resources Spanish Miscellaneous See also: MEDLINE plus Medical Encyclopedia: Table of contents Complete Home Medical Guide: Table of contents Spanish Miscellaneous Vulvodynia Patient/Family Resources National Library of Medicine MEDLINE plus Health Topics: Index YAHOO - Health: Diseases and Conditions: Vulvodynia
CCHS Clinical Digital Library
vulvodynia Clinical Resources. Miscellaneous vulvodynia Clinical ResourcesHealth Reviews for Primary Care Providers on the Internet Homepage
http://cchs-dl.slis.ua.edu/clinical/gynecology/vaginaldiseases/vulvodynia.html

Extractions: Clinical Resources by Topic: Gynecology Vulvodynia Clinical Resources Clinical Guidelines News Miscellaneous Resources See also: Walsh: Campbell's Urology 8th Ed.-2002 (MD Consult): Table of contents Health Sciences Library subscription INFO Other MD Consult Reference Books: Table of contents Health Sciences Library subscription INFO Medicine, Ob/Gyn, Psychiatry, and Surgery (eMedicine): Table of contents CliniWeb: Homepage (includes links to targeted PubMed MEDLINE searches) Clinical Guidelines National Guideline Clearinghouse: MeSH browse Detailed search News Resources MD Consult: Homepage Health Sciences Library subscription INFO Today in Medicine
American Family Physician: Vulvodynia.
Page 1 2 Next. vulvodynia. Issue March 15, 1999. What is vulvodynia? vulvodynia(say vulvo-din-ee-a) is the word for pain in the vulva.
http://www.findarticles.com/cf_0/m3225/6_59/54129414/p1/article.jhtml?term=vulvo
American Family Physician: Vulvodynia And Vulvar Vestibulitis: Challenges In Dia
vulvodynia and Vulvar Vestibulitis Challenges in Diagnosis and Management. vulvodyniais a problem most family physicians can expect to encounter.
http://www.findarticles.com/cf_dls/m3225/6_59/54129415/p1/article.jhtml

Extractions: All Locations Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Keyword: Find Articles Home View By Subject View By Name Search Tips ... Help Search all magazines this magazine Arts/Entertain. Automotive Business/Fin. Comp./Tech. Health/Fitness Home/Family News/Society Reference/Ed. Sports for Search Tips : Use quotes to find a specific phrase, e.g. "Abe Lincoln" or "New York".
Vulvodynia -- Devastating Gynecological Disorder
vulvodynia Devastating Gynecological Disorder. By Joel R. Cooper.During my time as editor in chief of The Medical Reporter, I have
http://medicalreporter.health.org/tmr0995/vulvo0995.html

Extractions: Vulvodynia: Devastating Gynecological Disorder By Joel R. Cooper During my time as editor in chief of The Medical Reporter , I have found that many women are desperate for information on chronic pelvic pain. There are three excellent sources of information on the subject of chronic pelvic pain that I discovered during my travels around the Internet, and I'd like to share them with you: International Pelvic Pain Society FAX: (336) 226-8518 I encourage you to contact these organizations directly, as they likely have the information you seek. In addition, you can find patient information about Vulvodynia and an accompanying clinical article about the disorder on the website of the American Academy of Family Physicians, specifically at:
Is Sex Painful? You May Be Suffering From Vulvodynia
You may be suffering from vulvodynia. By Elisabeth Anne Aron, MD. If thisis a familiar scenario, you may suffer from vulvodynia or vestibulitis.
http://medicalreporter.health.org/tmr0999/is_sex_painful.html

Extractions: Have you seen many physicians over several years complaining of pain with intercourse or tampon use? Have you been told that nothing is wrong or have you been given a variety of medications for bacterial vaginitis or yeast infections? If this is a familiar scenario, you may suffer from vulvodynia or vestibulitis. The first step in getting proper treatment and feeling better is to get a correct diagnosis. Women with vulvodynia and vestibulitis may suffer from symptoms for many years before being diagnosed correctly. Women will often report vaginal pain or burning that is continuous, comes and goes, or occurs with intercourse and tampon insertion. Others may report vaginal discomfort while walking and sitting. The discomfort can have devastating effects on your daily life and sexual relationships. What are Vulvodynia and Vestibulitis? Health care providers define vulvodynia as a burning or discomfort of the vestibular (the opening of the vagina) area. There is also a subset of vulvodynia called vulvar vestibulitis. This is defined as pain in the vestibular area upon touch or attempted vaginal entry. It is most commonly diagnosed in white women, women in their twenties and thirties, women who are educated and sexually experienced. Symptoms can last for years or can wax and wane. How are they diagnosed?
Dermatology.cdlib.org/rxderm-archives/vulvodynia
vulvodynia 1) imidazoles 2) amitriptyline3) calcium citrate, low oxalate diet 4) The Vulvar Pain Foundation 5
http://dermatology.cdlib.org/rxderm-archives/vulvodynia

Extractions: VULVODYNIA - 1) imidazoles 2) amitriptyline 3) calcium citrate, low oxalate diet 4) The Vulvar Pain Foundation 5) isoprenosine 6) doxepin 7) biofeedback 8) SSRIs 9) capsaicin 10) Aquanil HC 11) CAM 12) zonolon 13) dibucaine I have been caring for a 40 year old woman with dysplastic nevi for the past 6 or 7 years - one year ago she developed vulvar inflammation which has clinically cleared but has left her with vulvodynia which is severe enough to completely disrupt her life She has been seen by some of the best gynecologists in New York and they really have little to offer - she and I would be very happy to receive some clinical suggestions. She has been treated with Zovirax orally and topically, steroids topically, zinc oxide paste, silvadene,local anaesthetics, and topical antibacterials. A friend recently told here to use Crisco which helps a bit but the problem persists. What are the therapeutic pearls which I have not yet learned? Irwin Freedberg It is possible that the original inflammation was due to yeast, and that now she has the chronic low grade yeast described by Marilyn Mackay (?sp) which causes mild tender erythema of the vault. She treats with long term, months, of p.o. azoles. If she needs a lubricant the word in the community is Astroglide. Diane Thaler - The literature on vulvodynia is confusing, the nomenclature is ambiguous and the data is often sparse. One framework in which to approach vulvodynia is to try to differentiate it into vulvar vestibulitis, essential vulvodynia and cyclic vulvovaginitis. Topical treatment, though we all use it as first-line therapy, often is not sufficient in controlling the symptoms of any of these subtypes. Essential vulvodynia often responds to tricyclic anti-depressants such as amitriptyline. If you choose to use a tricyclic anti-depressant, to aid in compliance you might consider emphasizing its effect in altering the sensation of pain rather than its effect on depression. Concurrent emotional and psychological support can be invaluable. The use of oral calcium citrate along with a low oxalate diet is controversial but may help some women; the "natural" and nutritional approach is certainly attractive to many people. Even if these dietary measures are not helpful, they probably will not hurt your patient and may indeed assist in buying some time for other modalities to be efficacious. If finances permit, you might also consider referral to one of the nationally known vulvar specialists outside of NYC, as patients with vulvodynia are often desperate. A support group can be beneficial. While I have limited experience with "The Vulvar Pain Foundation", one patient of mine was grateful that I alerted her to them, as she no longer feels so isolated and embarrassed. The Vulvar Pain Foundation also publishes a newsletter. The address that I have is: The Vulvar Pain Foundation Post Office Drawer 177 Graham, NC 27253 Telephone, Tuesdays and Thursdays (910) 226-0704; Fax (910) 226-8518 Good luck with your patient-vulvodynia is a complex disorder that is frequently frustrating to both practitioner and patient. Some recent references: Dysesthetic ("Essential") Vulvodynia Treatment with Amitriptyline. McKay M. Jour Reprod Medicine 1993;38:9-13. Vulvar Pain Syndrome: A review. CME Review Article. Baggish MS, Miklos JR. Obstet and Gyn Survey 1995;50:618-27. Diagnosis and Treatment of Vulvodynia. Paavonen J. Annals of Medicine 1995;27:175-81. Stephen L. Comite MD - Here's one to try: Petersen CS and Weismann K, Isoprenosine improves symptoms in young females with chronic vulvodynia, Acta Dermatovenereologica, 1996:76(5) 404. Ten patients with chronic vulvodynia were treated with 1g po TID for 12 weeks. 4 of 10 became asymptomatic, 2 showed marked reduction of symptoms, no effect on the other 4. No adverse reactions were seen. Haines Ely - Amitriptyline or doxepin are the most helpful in my experience. I start with 25mg 2 to 3 hours before bedtime and then increase by 25mg increments at 1 to 2 week intervals as tolerated. The entire dose is given in the evening. Most women (and men with penile and scrotal pain) who will respond, do so at about 75mg per day. 60% of patients get enough relief to make life tolerable and about 40% will clear completely. Gae Rodke MD, a gynecologist in New York is doing some excellent work on biofeedback to allow pelvic floor relaxation. She is the best person in NYC for vulvodynia, I think. Her address is 146 Central park West, Suite 1G; tele # 496-9891. Peter Lynch - What does pelvic floor relaxation have to do with vulvodynia for goodness sake! Does this mean that women who do Kegel exercises (which I find suspect as well) will be at greater risk for vulvodynia? May we try oropharnx relaxation for glossodynia, or, do as Freud did and offer surgeries on the nose, removing bone and cartilage, as it is the organ most resembling the genitals, at least the male's? Diane Thaler - Re: the several posts questioning the rationale for the use of tricyclics and biofeedback for vulvodynia. First, definition and diagnosis. Before using the term vulvodynia it is, of course, necessary to rule out any recognizable (clinical or histological) disease such as LP, LS, candidiasis etc. Assumming that has been done, you are left with what (given today's level of knowledge, at least) is an idiopathic process. This idiopathic vulvar pain is then divided into two groups: those with visible (often punctate)vestibular redness (vestibulitis) and those with no visible change (essential vulvodynia). Second, is the process inflammatory? Biopsies from either vestibulitis (with redness) and from vulvodynia (without redness) reveal a few inflammatory cells (lymphocytes and plasma cells). However Moyal-Barracco et al note that redness of the type seen in vestibulitis occurs with equal frequency in a control population and Nylander Lundquist et al found about the same number of inflammatory cells in vulvar biopsies from control women. (I do not believe that either of these studies are as yet in press.) This suggests to me that inflammation is not a critical part of the condition. In any event, anti-inflammatory therapy does not work. Third, as is true with most idiopathic processes, treatment plans are arrived at empirically. Taking a leaf from the treatment of other chronic pain syndromes, tricyclics were tried. They worked. Published and presented reports indicate about a 60% response rate. It is interesting to speculate on why they might work. Since effectiveness, if it is to occur at all, begins more quickly, and at lower doses, than are required for the treatment of depression, the effect is probably via a different mechanism. That is, there may be a biochemical effect on neuropeptides that has nothing whatsoever to do with "psychologic" considerations. Fourth, tricyclics (and biofeedback) seem to me to represent a far safer approach to the treatment of pain than the laser and surgical options that are favored by many gynecologists. I have no problem with the use of other "reversible" medical forms of therapy but none of these has the established track record of tricyclics. Retin A and Zostrix, for instance have been tried and have failed to help. Fifth, I use tricyclics for men with penile and scrotal pain (as indicated earlier) as well as for lip, tongue, facial and scalp pain. They are equally (that is about 60%) effective in these conditions as well. Peter Lynch - Agreed that tricyclics work for certain pain. I agree with the distaste for the gyn approach. What about the pelvic floor relaxation, though. Or is the biofeedback working some other way. Another interesting idea in terms of pain is the SSRIs increasing ones pain threshold-maybe these could be given along with/without the tricyclics. And seriously, I have never seen a patient of Elavil informed of its obesity side effect. Diane Thaler - SSRIs don't work for pain in post-herpetic neuralgia (according to Dr. Peter Watson of Toronto, a world authority on that subject.) Elavil is thought to work (when it works) by increasing the tone in the adrenergic descending spinothalamic tracts which INHIBIT ascending pain impulses, preventing permanent (or long-lasting) modification of pain perception at the level of the CNS. This is why I give Elavil on Day One to people with zoster - to prevent post-herpetic neuralgia. A little Elavil early on saves a lot of trouble later. By analogy with PHN, I would choose Elavil over SSRI for vulvodynia - and I would administer it early rather than saving it for a last resort when all else has failed. Having said all of that, I have had better CLINICAL results in burning mouth and burning vagina with SSRIs than with Elavil, perhaps because what I'm treating in these cases is not a chronic pain syndrome per se, but a manifestation of depression. I've now moved on from SSRIs to the RIMA class of MAOIs - notably Manerix - because of a better side effect profile and almost complete absence of effect on sexual function. Kevin C. Smith MD FRCPC The sexual dysfunction with SSRIs may be overcome with amantadine, in some reports. Also, there is an OTC antihistamine which also works, but I have blanked out on which one. Wellbutrin also is a good one for people experiencing this problem on Prozac and Zoloft. Diane Thaler. - Periactin is probably the antihistamine you were trying to think of - has been reported to counter SSRI-associated sexual dysfunction. KC Smith MD FRCPC - How much will That cost? I can't even imagine the costs for this type of therapy near Park Avenue! Robert I. Rudolph, M.D., FACP - In reply to Dr. Rudolph regarding the cost of biofeedback (for vulvodynia) in NYC, I'm sorry, I don't know. Gae Rodke and her co worker presented their work as part of a study and I don't know if the study is ongoing or not. Peter Lynch - Two additional references on Vulvodynia Fitzpatricks's Journal of Clincial Dermatology Sept?Oct 1995 vol3 #5 pp9-12 Articles by Caroline S. Koblenzer, MD andLibby Edwards, MD Same Journal Jan/Feb 1994 pp37-38 Author Elaine T. Kaye, MD Bill Liss I might consider MRI of lower spine to r/o metastatic OR occult melanocytic disease or other disease, such as, degenerative osteoarthritis of spine with neural compression. Then, I would consider capsaicin, diluted in vehicle of your choice, with gradual increase in strength titrated to efficacy (as long as mucous membrane isn't involved). Patrick Carrington, M.D. - I have long considered that some cases of vulvodynia...and related pain syndromes at the same segments...might be related to occult entrapment syndromes similar to meralgia paresthetica. I was abit hesitant to suggest same in a public forum, but since Dr. Carrington brings up the subject, I think such an etiology merits some consideration. I might think of the situation in the same way as meralgia paresthetica, or even notalgia paresthetica. I am not sure how to prove it. I have been working with a very creative physiatrist in designing some tests to prove or disprove my theory. Certainly, Elavil is a very good agent in neuropathies of various types...I agree with Peter Lynch, and I use a similar approach. At the risk of being pilloried, would any of you wonder if standard chiropractic manipulations of the lumbar and sacral segments be of any value? Is accupunture to be considered? Elliot Puritz - Is the vulvodynia chronic or intermittant. If you do try Elavil, please warn the patient about weight gain. It brings to mind a survey done several years ago. When women were asked would they rather have a happy marriage or lose 10 pounds, they chose the weight loss. This might apply. I assume that vestibul"itis" implies histological/clinical inflammation. Clinically I understand the diagnosis is based on minute erythematous dots in the vestibule, associated with pain with Qtip pressure. For the life of me I can't understand why this "itis", as opposed to other inflammatory dermatoses, is treated with tricyclics and surgical excision. Where is the Plaquenil, the Dapsone, the ASA, the Doxycyline, and yes, the Accutane (as it is "glandular"). Dr. Fishers column in Cutis this month is about the perplexing problem of men who can't tolerate their pants. Elavil was not listed as therapies attempted, nor was surgical excision of their thighs. Diane Thaler - For topical Rx: 1. Topical doxepin is absorbed too much and ends up being sedating. It also occasionally behaves as a severe irritant. 2.. For local Rx of vulvar and perianal dermatoses I like Aquanil HC - lathered gently with a cotton ball or bare hand, then wiped off with a soft tissue. Not rinsing it leaves a thin soothing layer of it on raw tender skin. For daily cleansing plain Aquanil is great - less irritating than water when tested on diaper dermatitis. Gene Sienkiewicz, M. D. Gene, when I give acne patients samples of Aquanil, Cetaphil, SFC, and CAM lotion to try (along with Retin A), they always chose CAM. Have you tried the other soapless soaps? (CAM is made by Herald) Diane Thaler - Irwin, you might consider a consultation with a neurologist for a TCA, sometimes used in a variety of chronic pain syndromes. Jay Barnett Have you tried Zonolon cream? I recently had a similar patient who was helped tremendously by this. Jeff Marmelzat, M.D. I know it is not a cure for her problem, but perhaps Nupercainal ointment might afford her some relief. It is a vaseline base and delivers 1% dibucaine, an amide type anesthetic like lidocaine. She can buy it without a prescription next to the Anusol and Preparation H type stuff. E. Zabawski, DO, RPh I had a patient with intractable vulvdynia respond to capsacian cream. It might be worth a try, however, you would first warn her of the initial burning sensation accompanying the substance P depletion. Nortryptiline might also be worth trying. Rhett Drugge -
Vulvodynia
vulvodynia (info from the American College of Ob/Gyn). Some women havechronic pain in the vulva. This condition is called vulvodynia.
http://www.menopauseandwomenshealth.com/docs/vulvodynia.htm

Extractions: Vulvodynia (info from the American College of Ob/Gyn) Some women have chronic pain in the vulva. This condition is called vulvodynia. At least 200,000 women in the United States have vulvodynia. A woman of any age can have it. No one knows what causes vulvodynia. But treatment can help relieve some of the pain. This pamphlet explains: . What is vulvodynia . How your doctor can diagnose the condition . How to get some relief from your symptoms What Is Vulvodynia? Vulvodynia is chronic pain of the vulva. Chronic means that the pain occurs again and again or never goes away. The pain caused by vulvodynia can affect your health and your sex life. One kind of vulvodyniavestibulitiscauses pain of the vestibule. The pain may occur when you urinate, insert a tampon, or have sex. Vestibulitis may last for months or years if not treated. If you have chronic pain, you may become afraid to have sex. This fear may lead to vaginismus. This is a spasm of the muscles around the vagina. You can't control these spasms, and they make it hard for your partner to enter you. Problems with sex can frustrate both of you. Vulvodynia can disrupt your daily life. Chronic pain can make it hard to work or be active. Dealing with pain on a long-term basis may lead to problems with your self-image. It also may cause depression to develop or worsen. Your emotions can play a role in how you feel pain and cope with it. Stress can make the pain worse. Symptoms With vulvodynia, you may have some of these symptoms around your vulva:
Home
vulvodynia Vaginismus Page Some useful links. The following link alsohas information on vulvodynia, Dyspareunia and Vulvar Vestibulitis.
http://www.fsdinfo.org/vulvodynia.html
Nitroglycerin Cream Studied For Treatment Of Vulvodynia
SAFETY AND EFFICACY OF TOPICAL NITROGLYCERIN FOR TREATMENT OF VULVAR PAIN INWOMENWITH vulvodynia A PILOT STUDY 3) McKay M. vulvodynia. Diagnostic patterns.
http://www.newshe.com/articles/vulvadynia_NTG.shtml

Extractions: What is the Potential Role for Nerve-sparing Hysterectomy? Observations after Viagra Study on "Estroginized" Women Is Released Sexuality Education in Communities of Color: An Oxymoron? "Viagratization" of America Non-Pharmacological Possibilities for Treating Female Sexual Dysfunction Now on the Horizon Female Sexual Dysfunction: Definitions, Causes and Potential Treatments For Women Only: A Revolutionary Guide to Overcoming Sexual Dysfunction and Reclaiming Your Sex Life Book Sexual Self Assessment Questionnaire Patient Experience Survey E-mail Us Our Answers to Your E-mail Questions ... Our answers to your email questions SAFETY AND EFFICACY OF TOPICAL NITROGLYCERIN FOR TREATMENT OF VULVAR PAIN INWOMEN WITH VULVODYNIA: A PILOT STUDY Kathleen Walsh, MD, Laura Berman, PhD, Marie Miles, and Jennifer R. Berman, MD INTRODUCTION In 1985, the International Society for the Study of Vulvar Disease (ISSVD) recommended the term "vulvodynia" to describe any vulvar pain, regardless of etiology. Vulvodynia is often accompanied by both physical and psychological disabilities. The prevalence of vulvodynia is estimated to be as high as 15% in the general gynecological population (1). Precise etiology for vulvodynia is unclear and at present. There is no definitive evidence favoring an autoimmune, infectious, inflammatory or structural etiology.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

61-80 of 98 Back | 1 | 2 | 3 | 4 | 5 | Next 20