Guest guest Posted October 13, 2005 Report Share Posted October 13, 2005 This article is very important for all of you having recurrent yeast infections. I have a friend who thought it was yeast, and it was actually this: Vulvar Vistibulitis (Vulvadynia) By: Ladd McNamara, M.D. Vulvar vestibulitis is a little known condition (even among physicians) which is often mistaken for chronic vaginal yeast infections, both by the patient and her doctor. This painful condition falls under the global heading of vulvadynia, which means vulvar pain. Vulvar vestibulitis is characterized by vaginal rawness, burning, irritation, or any other type of pain associated with touch or sexual intercourse. The delicate area surrounding the opening of the vagina is known as the vestibule, and is technically part of the vulva. It is located on " the inside, " between the labia minora, but outside the vaginal hymen, or hymenal remnant. Depending upon severity, women with vulvar vestibulitis usually may not be able to tolerate wearing pants, bicycle riding, insertion of tampons, or sexual intercourse. The rawness associated with sex may progress and affect a woman for years. To the woman, it will seem like a yeast infection that may get a little better when treated, but really never seems to completely go away. In fact, it starts occurring more often, and intensifies. The use of toilet paper, getting in a swimming pool, soaps, yeast creams, and intercourse all cause severe inflammation and pain. Patients with this condition seek help from their doctor, and end up seeing multiple doctors because no one seems to find anything " wrong. " Women with this problem become frustrated, at least, to being told it is all in their head, at worst. Occasionally, women are told they have a chronic, or recurrent " yeast infection, " but this is not the case. Certainly, even normal levels of vaginal yeast can irritate women with vulvar vestibulitis, but yeast is NOT the cause of this condition Because a woman is not able to find a doctor who can help, and her relationship with her husband or boyfriend is suffering due to the inability to engage in intercourse, she will become depressed, anxious, and feel hopeless. Feelings of guilt and inadequacy will accompany depression, and the stress alone will make vulvar vestibulitis worse. Hormone, particularly estrogen fluctuations that occur at the time of ovulation and just before one's period can exacerbate vulvar vestibulitis, resulting in a flare up. A relative lack of hormones, stress, yeast, and chemicals all contribute to the woman's silent pain. In the early phase of vulvar vestibulitis, vaginal creams may offer only temporary relief, despite the return of symptoms within days. As this condition progresses, the vestibular-vaginal tissues become increasingly sensitive to the chemicals found in the creams, particularly propylene glycol (antifreeze). For this reason the sexual lubricant, Astroglide or KY Liquid should not be used, since it is made of propylene glycol. KY Jelly is a better choice for lubrication. Vaginal creams must be prepared by compounding pharmacies to ensure that there is no exposure to propylene glycol. It is true that yeast is often found in women with vulvar vestibulitis, but the same is true for women without this condition. Yeast and bacteria normally inhabit the vagina. A change in the vaginal environment, from hormonal fluctuations, intercourse, the introduction of saliva (which contains bacteria different from what is in the vagina), the use of antibiotics, etc., may cause a disturbance in the ratio and balance of normal vaginal bacteria and yeast. Women without vulvadynia or vulvar vestibulitis can tolerate an overgrowth of yeast. However, women with vulvar vestibulitis are extremely sensitive to even normal amounts of vaginal yeast, let alone an overgrowth! Part of the initial treatment of vulvar vestibulitis includes trying to keep vaginal yeast levels below " normal. " Oral medications work best for this. The reduction of yeast only reduces secondary irritation, and helps reduce symptoms, but it is not the cure. It is my belief that vulvar vestibulitis occurs in genetically-susceptible women, which then becomes triggered by almost any traumatic event, such as delivery of a baby, intercourse, exposure to anesthesia, or excessive time in a swimming pool. However, often there is no identifying " cause, " only the onset of pain, which worsens over time. It appears that dioxin, a very common toxin found in our environment, may be the biggest culprit in the onset of this disease. Dioxins come from the burning of plastics, but also from chlorinated, or bleached products. Years of exposure to bleached feminine products, toilet paper, laundry detergent, swimming pools, and even tap water, affect susceptible women, triggering this condition. After the disease is triggered, the vaginal-vestibular tissues are extremely sensitive to other chemicals and normal levels of vaginal yeast, let alone the irritation from intercourse. An inflammatory reaction ensues, which causes the release of peroxides from the immune system, which further irritates the delicate skin in this area. Treatment is aimed at eliminating the cause and contributing factors that worsen this condition. Patients that see me in the office, or with whom I conduct a phone consult, are given specific instructions as what to do, and what not to do. Most women notice results within weeks. The more severe the problem, the longer it takes to get under control. In some cases, when all my initial treatment plan fails (in only about 5 to 10% of these cases), the " V-Beam " plused-dye laser is used, which affords some relief. If you think you, or someone you know, may be suffering from this condition ..which would be recognized by a woman thinking she has " a chronic yeast infection that just will not go away, " then have them make an appointment with me for evaluation and treatment. They do not have to live their lives in pain, and they certainly should not lose their intimate relationships due to painful intercourse. Dr. McNamara is also very experienced in dealing with PCOS. He will not tell you to " go on the pill " to mask the symptoms.he can get rid of the problem causing them. His website can be found at www.laddmcnamara.com <http://www.laddmcnamara.com/> . He does consults. If you are interested, let me know and I will give you the details. Have a blessed day! Evie Maddox <https://www.eves-best.com> https://www.eves-best.com Check out my new store! <http://maddox.usana.com> http://maddox.usana.com Live longer, breathe easier, and KNOW that you are taking the BEST supplement available today! http://www.thinkbeforeyoupink.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2005 Report Share Posted October 13, 2005 Hey thanks for the article. I don't think that's what I had as I know it's mild PCOS. But I hope this helps others on here with that problem. Even if you don't have chronic yeast trouble it's best to not use chemicals of any kind in that area. Cheers Sue Evie Maddox <evie@...> wrote: This article is very important for all of you having recurrent yeast infections. I have a friend who thought it was yeast, and it was actually this: Vulvar Vistibulitis (Vulvadynia) By: Ladd McNamara, M.D. Vulvar vestibulitis is a little known condition (even among physicians) which is often mistaken for chronic vaginal yeast infections, both by the patient and her doctor. This painful condition falls under the global heading of vulvadynia, which means vulvar pain. Vulvar vestibulitis is characterized by vaginal rawness, burning, irritation, or any other type of pain associated with touch or sexual intercourse. The delicate area surrounding the opening of the vagina is known as the vestibule, and is technically part of the vulva. It is located on " the inside, " between the labia minora, but outside the vaginal hymen, or hymenal remnant. Depending upon severity, women with vulvar vestibulitis usually may not be able to tolerate wearing pants, bicycle riding, insertion of tampons, or sexual intercourse. The rawness associated with sex may progress and affect a woman for years. To the woman, it will seem like a yeast infection that may get a little better when treated, but really never seems to completely go away. In fact, it starts occurring more often, and intensifies. The use of toilet paper, getting in a swimming pool, soaps, yeast creams, and intercourse all cause severe inflammation and pain. Patients with this condition seek help from their doctor, and end up seeing multiple doctors because no one seems to find anything " wrong. " Women with this problem become frustrated, at least, to being told it is all in their head, at worst. Occasionally, women are told they have a chronic, or recurrent " yeast infection, " but this is not the case. Certainly, even normal levels of vaginal yeast can irritate women with vulvar vestibulitis, but yeast is NOT the cause of this condition Because a woman is not able to find a doctor who can help, and her relationship with her husband or boyfriend is suffering due to the inability to engage in intercourse, she will become depressed, anxious, and feel hopeless. Feelings of guilt and inadequacy will accompany depression, and the stress alone will make vulvar vestibulitis worse. Hormone, particularly estrogen fluctuations that occur at the time of ovulation and just before one's period can exacerbate vulvar vestibulitis, resulting in a flare up. A relative lack of hormones, stress, yeast, and chemicals all contribute to the woman's silent pain. In the early phase of vulvar vestibulitis, vaginal creams may offer only temporary relief, despite the return of symptoms within days. As this condition progresses, the vestibular-vaginal tissues become increasingly sensitive to the chemicals found in the creams, particularly propylene glycol (antifreeze). For this reason the sexual lubricant, Astroglide or KY Liquid should not be used, since it is made of propylene glycol. KY Jelly is a better choice for lubrication. Vaginal creams must be prepared by compounding pharmacies to ensure that there is no exposure to propylene glycol. It is true that yeast is often found in women with vulvar vestibulitis, but the same is true for women without this condition. Yeast and bacteria normally inhabit the vagina. A change in the vaginal environment, from hormonal fluctuations, intercourse, the introduction of saliva (which contains bacteria different from what is in the vagina), the use of antibiotics, etc., may cause a disturbance in the ratio and balance of normal vaginal bacteria and yeast. Women without vulvadynia or vulvar vestibulitis can tolerate an overgrowth of yeast. However, women with vulvar vestibulitis are extremely sensitive to even normal amounts of vaginal yeast, let alone an overgrowth! Part of the initial treatment of vulvar vestibulitis includes trying to keep vaginal yeast levels below " normal. " Oral medications work best for this. The reduction of yeast only reduces secondary irritation, and helps reduce symptoms, but it is not the cure. It is my belief that vulvar vestibulitis occurs in genetically-susceptible women, which then becomes triggered by almost any traumatic event, such as delivery of a baby, intercourse, exposure to anesthesia, or excessive time in a swimming pool. However, often there is no identifying " cause, " only the onset of pain, which worsens over time. It appears that dioxin, a very common toxin found in our environment, may be the biggest culprit in the onset of this disease. Dioxins come from the burning of plastics, but also from chlorinated, or bleached products. Years of exposure to bleached feminine products, toilet paper, laundry detergent, swimming pools, and even tap water, affect susceptible women, triggering this condition. After the disease is triggered, the vaginal-vestibular tissues are extremely sensitive to other chemicals and normal levels of vaginal yeast, let alone the irritation from intercourse. An inflammatory reaction ensues, which causes the release of peroxides from the immune system, which further irritates the delicate skin in this area. Treatment is aimed at eliminating the cause and contributing factors that worsen this condition. Patients that see me in the office, or with whom I conduct a phone consult, are given specific instructions as what to do, and what not to do. Most women notice results within weeks. The more severe the problem, the longer it takes to get under control. In some cases, when all my initial treatment plan fails (in only about 5 to 10% of these cases), the " V-Beam " plused-dye laser is used, which affords some relief. If you think you, or someone you know, may be suffering from this condition ..which would be recognized by a woman thinking she has " a chronic yeast infection that just will not go away, " then have them make an appointment with me for evaluation and treatment. They do not have to live their lives in pain, and they certainly should not lose their intimate relationships due to painful intercourse. Dr. McNamara is also very experienced in dealing with PCOS. He will not tell you to " go on the pill " to mask the symptoms.he can get rid of the problem causing them. His website can be found at www.laddmcnamara.com <http://www.laddmcnamara.com/> . He does consults. If you are interested, let me know and I will give you the details. Have a blessed day! Evie Maddox <https://www.eves-best.com> https://www.eves-best.com Check out my new store! <http://maddox.usana.com> http://maddox.usana.com Live longer, breathe easier, and KNOW that you are taking the BEST supplement available today! http://www.thinkbeforeyoupink.org Quote Link to comment Share on other sites More sharing options...
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