Guest guest Posted August 18, 2007 Report Share Posted August 18, 2007 I had a really long road, but I am doing really well now. I really think you have to be patient and pushy (as contradictory as that sounds). Give treatments a chance, but don't be bullied by doctors who say you're out of options. Doctors, in my experience, don't like to seem ignorant, so they'll sooner say " there are no other treatments " than " there are options I just don't know about. " In my case, there was not one treatment that did the trick--I needed a combination. My onset was a common one: a year of repeated infections (yeast and bv) that were treated with topical meds that I think did me harm. When I finally got diagnosed, my diagnosis was vestibulitis, but I had 24/7 pain. Tricyclic antidepressants made a big difference for me in terms of 24/7 pain (elavil particularly), but didn't help contact pain. So I actually got to a point where I was on a tricyclic and pretty comfortable as long as I didn't have sex. So I had a vestibulectomy (after getting a couple opinions) and the surgery enabled me to have sex w/o pain. BUT... at the end of all of this (3+ years) my pelvic muscles were in really bad spasm. So I did a lot of PT and I am actually still doing it. That I am still doing PT is my fault, really. After I worked on my pelvic muscles in PT I was told I really had tp strengthen the surrounding muscle groups-- abs, butt, lower back--to keep my pelvis happy, and I have been lazy about doing that. So I went back to pt recently to try and work on this. I have some issues with pain after sex (not immediately, but like a day or 2 later) which I'm trying to sort out. But sex itself is not painful and I feel like this after-pain is something I can figure out and manage. If you're feeling hopeless... This is just my opinion, but I think it's really important to do these things if you can: See a vulvar specialist, see a pt with experience in vulvar pain, join the NVA. It's like $40 and you get a doctor list and a support contact in your area and a really informative newsletter. Don't give up and try (I know it's hard) not to sink into despair because I really think it worsens pain. Lia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2007 Report Share Posted August 19, 2007 Lia-- Thank you for sharing this. It really helps. I am just in that place where I am hanging on and just trying to make it to the next day with this.... I refused the tricyclics for a long time but I think I am going to give them a try. After 2 years of 24/7 pain, I'm up for anything, except surgery. I think I am realizing that no one thing is going to be the fix, so like you said I'm trying to be patient at this point and put all the pieces together. One more question for you---you say you were dxed with vestibulitis....did you have 24/7 pain but only in the vestibule? That is what I have... > > I had a really long road, but I am doing really well now. I really think you have to be > patient and pushy (as contradictory as that sounds). Give treatments a chance, but don't > be bullied by doctors who say you're out of options. Doctors, in my experience, don't like > to seem ignorant, so they'll sooner say " there are no other treatments " than " there are > options I just don't know about. " In my case, there was not one treatment that did the > trick--I needed a combination. My onset was a common one: a year of repeated infections > (yeast and bv) that were treated with topical meds that I think did me harm. When I finally > got diagnosed, my diagnosis was vestibulitis, but I had 24/7 pain. Tricyclic > antidepressants made a big difference for me in terms of 24/7 pain (elavil particularly), > but didn't help contact pain. So I actually got to a point where I was on a tricyclic and > pretty comfortable as long as I didn't have sex. So I had a vestibulectomy (after getting a > couple opinions) and the surgery enabled me to have sex w/o pain. BUT... at the end of all > of this (3+ years) my pelvic muscles were in really bad spasm. So I did a lot of PT and I am > actually still doing it. That I am still doing PT is my fault, really. After I worked on my > pelvic muscles in PT I was told I really had tp strengthen the surrounding muscle groups-- > abs, butt, lower back--to keep my pelvis happy, and I have been lazy about doing that. So > I went back to pt recently to try and work on this. I have some issues with pain after sex > (not immediately, but like a day or 2 later) which I'm trying to sort out. But sex itself is not > painful and I feel like this after-pain is something I can figure out and manage. If you're > feeling hopeless... This is just my opinion, but I think it's really important to do these > things if you can: See a vulvar specialist, see a pt with experience in vulvar pain, join the > NVA. It's like $40 and you get a doctor list and a support contact in your area and a really > informative newsletter. Don't give up and try (I know it's hard) not to sink into despair > because I really think it worsens pain. > > Lia > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2007 Report Share Posted August 19, 2007 LIa----I'm glad to hear that you are doing well. You HAVE had a long road. I had a partial vestibulectomy four years ago and it enabled me to have sex also. I also have some pain or irritation about 24 hours later. Dr. Nyirjesy gave me a compounded cream about 6 months ago which is amitriptiline/baclofen. His NP told me that they have a patient whose husband is a pharmacist. He says that this pharm says this preparation should not work. I also talked to my son's pain specialist and he scoffed at it. I think it does help and Nyirjesy is having lots of success with it even with those of us who have LS on the outside!! Nyirjesy usually only prescribes things that are proven!! Sandy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2007 Report Share Posted August 20, 2007 Millie----We always use almond oil for sex. Sandy Quote Link to comment Share on other sites More sharing options...
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