Health Questions and Answers

Archive for the 'Benign Lesions of the Vulva and Vagina' Category

Question: Which lesions in the vagina result from abnormal development? How are they treated?

Tuesday, September 16th, 2008

Answer: Imperforate hymen: Usually recognized after puberty when retention of menses leads to hematocolpos. Accumulation of retained secretions may also lead to hematometra and hematosalpinx. Inspection of the introitus reveals an imperforate hymen with a bulging fluid mass in the vagina.▪ Treatment-cruciate incision of the imperforate hymen. Septate vagina: May be complete or incomplete, with […]

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Question: What is vestibulitis? How is it managed?

Tuesday, September 16th, 2008

Answer: Vestibulitis is defined as a constellation of symptoms and signs, including entry dyspareunia, vestibular erythema, and vestibular tenderness in the absence of an active dermatosis or disorder that would otherwise explain the findings. Management includes symptomatic relief with 5% lidocaine ointment; tricyclic antidepressants may be helpful. Surgical treatment should only be considered in severe […]

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