Fever and pelvic pain in an IUD user.
Crohn’s disease in someone who wants the pill.
More than 1 risk factor—say Type 2 diabetes and headaches—in someone selecting a new method.
These scenarios, while not common, are certainly not uncommon for the average clinician.
Pelvic floor dysfunction causes a number of problems: dyspareunia, urinary frequency or incontinence, pain with walking, pain with prolonged sitting, fecal incontinence, constipation or dyschezia. For women suffering from pelvic floor dysfunction, physical therapy can work wonders.
Complaint: Vulvar pain lasting at least 3 months duration without a clear identifiable cause. Yep, that is vulvodynia. Last month’s post reviewed diagnosis; this month our post continues with options for treating the condition. Noor Dasouki Abu-Alnadi, MD, MS, who specializes in chronic pain syndromes such as vulvodynia, presented a 1-hour master class on the topic at the recent Contraceptive Technology conference, and shared how she helps when sex hurts because of vulvodynia. “Keep these initial treatments in your wheelhouse,” she said, because you will make use of them repeatedly.
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