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urethral syndrome

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Dear Jane

I agree that this sounds a bit like vulvodynia, or at least a similar condition

affecting the urethra. I have been seeing a patient for this, who has been

taking herbs now for a few years, and wouldn't be without them. Her prescription

has varied over time, as you would imagine, as she has had a number of other

problems as well, but has basically consisted of urinary antiseptics and

demulcents as necessary (her original presentation was with recurrent urinary

infections, and pain which was worse after sex), and nervines, with a heavy

emphasis on stress relief, and antispasmodics, which has proved a good strategy.

I've also paid a lot of attention to vaginal dryness, (also a lady of a certain

age) and to her recurrent anal fissure (cream made up of a third

comfrey/calendula ointment, third echinacea cream, third witchhazel cream, which

she swears by). I suspect a lot of the pain comes from the anal fissure as it

has eased a lot since we started treating this (they can be excruciatingly

painful, with referred pain to adjacent structures, and can also be quite deep,

ask if she's been examined for this). It's obviously also a good idea to treat

any constipation, check for any gynae probs, sexual difficulties etc. and to

keep an eye out for any hint of emotional trauma eg sexual abuse, rape or

relationship difficulties which may produce a physical manifestation like

vaginismus. Sorry, I'm probably trying to teach granny to suck eggs here, just

got carried away! Still, hope it's of some help.

Cheers Alison M. Get more from the Web. FREE MSN Explorer download :

http://explorer.msn.com

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