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- Labial adhesions in prepubertal girls: 36 girls with
labial adhesions -age range 3 months to 11years- were successfully
treated with topical estrogen therapy alone (25%), or combination
of topical estrogen therapy and manual separation of the labia
(58%). Length of therapy depended on degree of adhesion: 4 weeks
if <50%, and longer than 6 weeks if >50%. For those patients
whose adhesions recurred (6%), maintenance therapy with a topical
emollient was used.
Jane E. Dopkin, MD, OB.GYN. NEWS, September 1, 2003.
- Neuropathic vulvo-vaginal pain: The pudendal, genitofemoral,
and ilioinguinal nerves are the main nerves serving the vulvo-vaginal
area. Any trauma or damage to the vulvo-vaginal area can traumatize
the nerves themselves. Damage to the neural transmission (neuralgia)
can manifest itself analogous to "static" in radio transmissions.
This neural "static" results in the spontaneous firing
by the C-fibers of the vulva, and is perceived as a continuous
dull, aching, or burning pain. Neuropathic pain results therefore,
from damaged and malfunctioning nerve fibers ( e.g. Pudendal
or ilioinguinal neuralgia ) J.Woessner: A conceptual model
of pain, Practical Pain Management, Volume 2, Issue 5.
- Valacyclovir (Valtrex) was recently
approved, [Medical Letter 2002;44:95] as a one day therapy for
oral & genital Herpes
simplex virus (HSV) infections. The suggested dose is
2 gm twice daily for one day. This form of treatment is more convenient
and achieves comparable results to longer alternative regimens
of therapy.
- Adolescent
Seasonal viral ulcers of the vulva, recently reported
in young adolescents, pre- or post-menarchal. The seasonal unidentified
virus attacks mostly in fall & winter. Associated viremia
symptoms: fever, sore throat, abdominal pain, nausea. The disease
is self limiting: 1-2 wks, recurrences are rare. Suggested therapy:
combination of a potent steroid ointment and anesthetic ointment.
OB.GYN. NEWS, 2002.
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