Botox, Gynecologic Use in Vaginismus

For women unable to have intercourse because of pin, Botox is a new and effective treatment. For most women they can safely have one treatment and they are cured. For others repeat treatments have to be undertaken every 3-6 months. For most women gynecologists expect the treatment course to be self limiting and not need to go on for years. The Botox relaxes abnormally tightened muscles and makes both intercourse and using tampons possible for women who suffer from Vaginismus. Vaginismus is a painful condition that involves such tight muscle contractions that women are unable to have comfortable intercourse. Vaginismus has many origins: fear of painful intercourse, prior surgery, prior infections with painful intercourse, painful intercourse from endometriosis as well as psychological. It is not known if some women have naturally abnormally tight musculature or abnormal nerve firing that causes it, and in some cases it is a condition that occurs prior to a woman ever having sex, and in other cases it occurs after previously normal sexual function. The nerves that form the pathway that leads to orgasms are deeper, and actually spread between the clitoris and the vagina, this area is not treated by the Botox. Since the treatment is in the outer vaginal muscles it's not likely that there would even be a spread of Botox effect that would lead to orgasm disruption. For women who have not had adequate sexual function for a long time it's possible that they need time and a regaining of their sexuality to really begin to have orgasms again. Most physicians would advocate treating the condition of vaginismus with the standard strategies first, and then trying Botox. To use Botox for vaginismus it would be using an approved medication for an unapproved indication, so that it's important to under stand risks, benefits, and that insurance coverage is not likely. But it is something that can be very beneficial if you find a gynecologist with Botox injecting experience.

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Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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