At the Urogynecologist

In the last few weeks I had been experiencing vaginal pain. I had an appointment with my Primary Care Physician and she tested me for yeast and other infections. The tests were negative. That left only one alternative; my Vulvodynia was back.

I went to the Urogynecologist. He seemed like a good doctor, was easy to talk to and respectful. After a painful exam he told me my Vulvodynia was severe. The first line of treatment was usually antidepressants, but since I am already on an antidepressant it would be unwise for me to try another.

The next course of action was surgery! I was shocked. I didn’t even know you they did surgery for Vulvodynia. It’s called a Vestibulectomy. Basically it involves removal of the painful tissue of the vestibule.

The doctor said it would enable me to have sex once again.

The doctor also said he thought this would be the answer for me. He told me to come back any time I had questions and I do. I read on forums that the recovery was painful (of course). Could I take the pain? Also physical therapy was recommended. Physical therapy for what exactly?

I searched the forums and I couldn’t find one post that said the surgery did not help them. It seems the surgery is quite common and has been performed for many years.

I’m just not sure what I want to do. It would be nice to live without the constant great pain.

I’ll update you if I decide to have the surgery.

I’d like to have your opinions. Would you have the surgery if you were me?

Did you even know that all of that was going on down there?

Did you even know that all of that was going on down there?

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About mamasick

Emily Cullen is a pen-name. I suffer from chronic illnesses and diseases which include Bipolar Disorder, Asthma, Diabetes and Fibromyalgia. I had battled Lupus and Rheumatoid Arthritis but there is no longer evidence of me having these diseases and my Rheumatologist has declared them to be "burnt out" of my system. I am separated from my husband, “Grant”. Our son, “Tyler” was born in September of 2006 and suffers from tics and Obsessive Compulsive Disorder, and is delayed in fine and gross motor skills. In my blog I seek to let sick moms know that they are not the only ones going through this, and to educate people about what can happens when one becomes catastrophically ill. I also strive to break down stereotypes of what a “Welfare Mom” is like. Anything that I have gone through due to being sick, is written on the pages of Mama Sick.
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4 Responses to At the Urogynecologist

  1. TheValCat says:

    I am a long time sufferer of severe Vulvodynia, IC, PFD and so on. This doctor is skipping a TON of steps. I have been battling for 5 years and I am still not ready for surgery as it is a last resort treatment. Besides antidepressants there is vaginal valium, tons of compound creams, two kinds of physical therapy, trigger point injections, botox injections, lidocaine injections, dialators, b&o suppositories. Especially the fact that you have gone into remission before is a reason not to get surgery yet. I have never gone into remission. Trust me, I know the surgery can be tempting and sometimes I wish for it. But it’s a six to eight week recovery with the first 3 weeks bed bound and I know u have a child so bed bound may not be practical. I just started seeing someone new today who started me on a new cream, increased my vaginal valium dose and I am restarting PT. I am going back in 4 weeks to likely start trigger point injections. I have used with no success a lot of the other creams, oral meds and the other kind of PT. So if all this doesn’t work, then I may be a surgery candidate. I would def. get a second opinion and not just let him cut you when it is possible a simple suppository or injection could help u instead. A few of my friends have been able to have pain free sex thanks to trigger point injections.

    Praying for u xoxo.

    • mamasick says:

      Thanks, Val. It’s hard to know if you’ve found a good urogynecologist. It looks like my third time wasn’t a charm.

      Since the vulvodynia does go into remission, I am leaning against not having the surgery.

  2. Tendai says:

    Do not let him mutilate your hooha! I don’t have vulvodynia but due to my nerve damage in my spinal column my doctor is treating me as though I do. The lady above is right, he is missing a ton of steps. My ob-gyn prescribes a compounded cream for certain events that is a mixture of gabapentin and lidocaine. Gabapentin is done orally too for vulvodynia but I am also taking it for fibromyalgia and my nerve pain/weirdness in my lower half of the body. I can’t wait to ask about the vaginal valium at my next appointment! You can use anal lube that has the numbing stuff in it to treat it yourself if you can’t stand seeing another doctor. Hot cinnamon oil stuff that gets hotter with friction works well too with taking the pain away even on days where no one’s nether regions are holding meetings.

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