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In a message dated 12/15/03 12:30:14 PM, VulvarDisorders

writes:

<< I also saw Dr. on years ago (I think 8). I was more impressed with

her lush offices filled with fish tanks that were everywhere than I was with

her. Not accepting any insurance means she can set her own rates, and I'm sure

she can get it. After all those fish tanks cost money. LOL >>

I agree with Sue. Doctors who don't accept insurance usually don't because

they don't want the costs of employing the office staff to take care of billing

the various companies or they don't like what the insurance companies

consider a fair fee. Doctors can send you off for any test/procedure you're

willing

to pay for regardless of whether they are participating doctors of any plan or

whether your insurance company is willing to pay for it. Insurance does not

tie their hands at all, as long as you're willing to make up the difference.

There's one vv/vvs specialist and his reasoning for not accepting insurance is

that insurance companies won't pay his outrageous fees. He rationalizes

charging several hundred dollars because he claims he spends 60-90 minutes with

each patient. He spends 95% of that time talking, not examining the patient.

Which is all nice and stuff, but if I want to talk - I'll go out to lunch with

a friend and save myself $700.

I stay away from doctors that do not accept insurance/bill insurance

companies. If they don't, quite often it's because they can make more money not

doing

so. If they're that concerned with lining their coffers (when they can make

a highly profitable living by playing the insurance game), I begin to wonder

if I really need this test/procedure/another office visit, etc... and if they

are instead just padding my bill.

Debbie

Tiger

" And Staples Girls are so extraaaaaavagant...I just don't have that much

driiiiivvvvvvel... " - Alan, 2/12/03

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In a message dated 12/15/03 12:30:14 PM, VulvarDisorders

writes:

<< Or even more frustrating is when things start off pain free but then

suddenly during or immediately afterwards the pain is unbearable and how

can you say to your partner who is really enjoying themselves and thinks

that you are too 'actually this is hurting now, can we stop'??? >>

Hi Gini,

That's exactly what you say. If your partner loves you, he does not want his

pleasure to cause you pain. My boyfriend can usually tell by my eyes when

sex has started hurting me and he stops before the pain has reached a level

where I would ask him to stop.

<< Has anyone had any bad reactions to lubricants or condoms?

I'm curious because during one session everything was pretty

much pain free until the above were introduced..any ideas??>>

You're sensitive to the ingredients used in the lubricants. If one has

vv/vvs, our vulvas/vestibules/vaginas are much more sensitive to irritants. If

your hands are dry and chapped and you wash with soap - it hurts right?

Normally

the same soap wouldn't hurt you. It's the same with the skin in our vulvar

area. If it's inflamed/irritated, it will react to ingredients in

lubricants/condoms just the way any other inflamed or irritated area of our body

will.

Debbie

Tiger

" And Staples Girls are so extraaaaaavagant...I just don't have that much

driiiiivvvvvvel... " - Alan, 2/12/03

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In a message dated 12/15/03 12:30:14 PM, VulvarDisorders

writes:

<< You aren't looking in the right places. There have been quite a few

that have been cured when treated for long term yeast. >>

Then the person did not have vv/vvs, the person had an yeast infection.

<<Every case of vulvodynia is different and there are many cures.>>

There is no cure for vv/vvs. There are treatments that will relieve

symptoms. Possibly permanently. There are cures for yeast infections.

<<Here is just one of the success stories:

http://www.angelfire.com/hi/HeidiHomePage/index11.html

Here is Robin's story of being cured after years of pain. Not using

diflucan but using Nizoral>>

I don't believe I said long term use of Nizoral wouldn't help. I said long

term usage of Diflucan with the symptoms she described was probably not going

to do a thing for her. The Aldara is more than likely causing the symptoms she

thinks is yeast. And her other symptoms sound like she might want to read

some of Arline's posts. Trying a gluten free diet may be more successful than

long term usage of Diflucan. I may be wrong and missed a post where she said

she has had problems with recurrent yeast infections and if she has had that

problem, then maybe long term Diflucan will be of a benefit to her. Her

complaints of vulvar dysplasia, Aldara side effects and diarrhea don't indicate

long

term usage of Diflucan will do much.

<<It is a dis-service to others to tell them that a certain med or course of

action won't work simply because you, yourself have not seen success with it.>>

Did I say Diflucan did not work for me? I don't believe I did. Don't assume

I found no success with a drug/treatment if I tell someone else it may not

have the results that she is looking for.

<<We know that many things cause vulvodynia:

nerves

muscles

bacteria

yeast

low estrogen

birth control pills high in progestin

medications

allergies (food or airborne)

chemicals (detergents, soaps, lotions etc)

oxalates

wheat/gluten allergies>.

Not exactly. They are not the whole cause of vv/vvs. The list above are

irritants that our bodies react to and keep reacting to long after the irritant

is gone. Having a short term reaction to anything listed above is not unusual.

What is abnormal is when the body keeps reacting. The list above is a

catalyst, whatever it is in our bodies that is unable to stop reacting and/or

over

reacts to the irritant is the cause of vv/vvs. Long term relief to vv/vvs

requires finding a treatment that that turns off the reaction (cure!),

interferes

with the brain registering the reaction (relief!) or reduces the effects of

the reaction on the body (relief!).

Debbie

Tiger

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In a message dated 12/15/03 12:30:14 PM, VulvarDisorders

writes:

<< Yes, it was diagnosed by my doctor's lab through a stool (diarrhea)

sample--excessive yeast in stool (a minimal amount is a common

finding, but excessive is not). >>

I don't believe you mentioned you tested positive recently for yeast. I do

believe you said you think you might have yeast. There's quite a difference.

If you have tested positive, it might help if you tried the Diflucan and the

topical yeast medication to rid your body of the yeast. Whether it will

relieve pain in the vulvar area, is another issue.

Debbie

Tiger

" And Staples Girls are so extraaaaaavagant...I just don't have that much

driiiiivvvvvvel... " - Alan, 2/12/03

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The stool test was spring 2002. I started HSV meds and Diflucan cleared the

smell problem and partially the vulvar skin problem, but

not the diarrhea problem. All the symptoms recurred after a month, so I went

through the Diflucan routine again. It took 3 pills to fix

it that time. Then I tried some quack at-home yeast treatment all summer. I

didn't get the smell again but the diahrrhea never went

away and I periodically had skin trouble. All the problems just keep recurring.

Been to about 8 gynos since that time. Total, I have

been prescribed meds for yeast, meds for herpes, meds for thyroid, and now meds

for HPV--multiple prescriptions on most of those.

Proof of yeast: one positive stool test for yeast in 2002, plus a microscope

confirmation for vaginal yeast in summer 2003. Also, I

have self-prescribed (bought online) meds for herpes & meds for yeast at various

times. But symptoms have gradually

worsened in the last half-year. Apparently I am having multiple vulvar

problems, and no one medication ever takes away all my

symptoms by itself. Nor do multiple medications taken in conjunction. I don't

know what I have. I know I probably can't solve it

though, considering everything I've tried so far w/ no lasting results. I'm

hoping Aldara helps w/ the VIN-1, and I'm waiting for my

recent IgA test results about gluten intolerance (Arline's topic) to figure out

if that's contributing. So I'm in a holding pattern right now.

I don't remember what post you're talking about, but the reason I probably said

I " might " have yeast is because I can't tell for sure.

The time this summer that I was diagnosed w/ yeast via microscope was the first

time ever in my life that I had proof of a vaginal yeast

infection. However, the symptoms & the smell had been around for a year. The

next time I was checked w/ microscope they said no

yeast. But the symptoms were still there. I wasn't experiencing anything WORSE

the time they said I DID than the time they said I

DIDN'T. And all the gynos say they can't smell anything when I can plainly

smell the difference.

It is all so confusing--I had so many different symptoms that all started at the

same time, but different doctors treated me for different

things at different times and I don't expect you guys to come up with the

solution for me, but bits and pieces of things I read here do

help, and so I just keep reading and waiting and trying more things.

WTT

VIN-1, HSV-1 somewhere, possible vaginal yeast, and who-knows-what-else

>

> In a message dated 12/15/03 12:30:14 PM, VulvarDisorders

> writes:

> << Yes, it was diagnosed by my doctor's lab through a stool (diarrhea)

> sample--excessive yeast in stool (a minimal amount is a common

> finding, but excessive is not). >>

>

> I don't believe you mentioned you tested positive recently for yeast. I do

> believe you said you think you might have yeast.

> Debbie

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Keep in mind that people get a diagnosis of vv/vvs when doctors don't know what

the hell else to tell them. So probably some of the

people coming here don't TECHNICALLY have vv/vvs, but they think they do because

that's what they've been told (like me).

So when we're talking to people about relief of their symtoms, we can't just

leave out some solutions on the basis of " That doesn't fix

vv/vvs " because for some people, it DOES fix THEIR " vv/vvs " . It'd be different

if vv/vvs had a unique definition and treatment, but it has

neither.

I can't tell who's writing to who in the postings below, but one of you is

talking about vulvodynia as undiagnosed symptoms of which

some might have cures, and the other is talking about vulvodynia as a disease in

which EVERYTHING else has been ruled out and

there's no cure. In the real world, I think it's rare that EVERYTHING can ever

be ruled out completely, so it's plausible to believe there

are people who think they have vulvodynia but don't have it in the strictist

sense of the word. And for them, there may some " cure " .

And to whoever wrote the very bottom-most comment below...I think you are

talking about me and my use of Aldara, but the person

you were responding to was posting to somebody DIFFERENT about their symptoms,

not mine. The format of these groups kinda

sucks because there's no way to see discussions arranged in their own

threads--instead it's all a mish-mash of different discussions.

Maybe someday Yahoo will get a different format so we can all be clearer on

who's telling what to who. :)

WTT

VIN-1 through biopsy, HSV-1 blood test, sometimes yeast, and

who-knows-what-else.

>

> In a message dated 12/15/03 12:30:14 PM, VulvarDisorders

> writes:

>

> << You aren't looking in the right places. There have been quite a few

> that have been cured when treated for long term yeast. >>

>

> Then the person did not have vv/vvs, the person had an yeast infection.

>

> <<Every case of vulvodynia is different and there are many cures.>>

>

> There is no cure for vv/vvs. There are treatments that will relieve

> symptoms. Possibly permanently. There are cures for yeast infections.

>

> Here is Robin's story of being cured after years of pain. Not using

> diflucan but using Nizoral>>

>

> I don't believe I said long term use of Nizoral wouldn't help. I said long

> term usage of Diflucan with the symptoms she described was probably not going

> to do a thing for her. The Aldara is more than likely causing the symptoms

she

> thinks is yeast. And her other symptoms sound like she might want to read

> some of Arline's posts. Trying a gluten free diet may be more successful than

> long term usage of Diflucan. I may be wrong and missed a post where she said

> she has had problems with recurrent yeast infections and if she has had that

> problem, then maybe long term Diflucan will be of a benefit to her. Her

> complaints of vulvar dysplasia, Aldara side effects and diarrhea don't

indicate long

> term usage of Diflucan will do much.

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<<The stool test was spring 2002. I started HSV meds and Diflucan cleared the

smell problem and partially the vulvar skin problem, but not the

diarrhea problem. All the symptoms recurred after a month, so I went through

the Diflucan routine again. It took 3 pills to fix it that time. Then I

tried some quack at-home yeast treatment all summer. I didn't get the smell

again but the diahrrhea never went away and I periodically had skin

trouble. All the problems just keep recurring. Been to about 8 gynos since

that time. Total, I have been prescribed meds for yeast, meds for herpes,

meds for thyroid, and now meds for HPV--multiple prescriptions on most of those.

Proof of yeast: one positive stool test for yeast in 2002, plus a

microscope confirmation for vaginal yeast in summer 2003.>>

I don't remember what post you're talking about, but the reason I probably said

I " might " have yeast is because I can't tell for sure.

The time this summer that I was diagnosed w/ yeast via microscope was the first

time ever in my life that I had proof of a vaginal yeast

infection. However, the symptoms & the smell had been around for a year. The

next time I was checked w/ microscope they said no

yeast. But the symptoms were still there. I wasn't experiencing anything

WORSE the time they said I DID than the time they said I

DIDN'T. And all the gynos say they can't smell anything when I can plainly

smell the difference.>>

You don't have a problem with recurrent yeast infections, it appears you have

had two in your life - with one maybe be a bit difficult to cure. I'm not

sure what the vulvar skin problem was that you were having last year. If it was

itching or burning or something that indicates yeast. The diarrhea

may be caused by what you're eating, the medications you're taking, IBS, etc...

If may have nothing to do with an yeast infection. I think I'd try

something else before taking long term Diflucan to treat diarrhea.

You don't mention what the smell is. Vaginal scents and odors are normal. This

smell may be completely normal.

If you're basing an yeast infection on vulvar pain (not extreme itching and

burning), odor and diarrhea - you probably don't have an yeast infection.

You probably won't find much help from taking Diflucan long term. I'd pursue

another diagnosis for the diarrhea. And wait until you have finished

the Aldara to determine if that relieves the vulvar pain. As for the odor, I

would think doctors are familiar with the fishy scent that indicates an yeast

infection and if they don't detect it - your odor is probably normal. But if

your doctor is convinced you have some hidden yeast infection - you might

as well give Diflucan a chance.

Debbie

Tiger

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