What causes pain on skin surface in the abdominal or vulvas areas
Sep 30, 2011 > Women
Patients occasionally experience pain or skin surface, either in the low abdominal area or on the vulva. This comfort is usually due to herpes if one the vulva or to shingles (herpes zoster) if one the low abdomen or vulva. Pain from these two problems is usually not difficult to diagnose and is not usually confused with the pelvic pain we will discuss in the next from question. Obviously, other skin problem can cause discomfort in the vulva area if the gynecologic is not sure what the problem is.
What causes low abdominal and pelvic pain?
Low abdominal and pelvic is problem for both patients and their doctors. It is not only difficult to diagnose, but it can also be just as difficult to treat. Many well qualified physicians believe that 50 percent of the pelvic pain that women experience is not due to physical abnormalities. The implication is that the pain is often psychological in origin. Although I do not doubt that same pelvic pain is due to emotions, my experience has beet that this is uncommon.
When pain is caused by emotion, the emotions after cause true physical pain that can be treat 9surh as irritable colon). When the physical pain is alleviated, a woman’s emotional problem can be evaluated and treated more easily. If a patient and her doctor purpose pain evaluation, the cause can almost always be found and treated. Some physical causes of this type of pain are discussed in the following question.
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Vulvar Disease In addition to inspection, several other diagnostic aids are available. Papanicolaou (Pap) smears of the vulva, although generally not obtained, may be useful for ulcerated lesions. A saline-moistened tongue depressor or similar spatula is used to scrape the lesion for a specimen, which is then smeared on a slide for fixation.
The toluidine blue test is also helpful, particularly for selecting biopsy sites in cases of suspected vulvar dystrophy. The test is carried out by applying a 1% aqueous solution of toluidine blue, which is a nuclear stain, to the entire vulva, allowing 1 to 2 minutes for drying, then gently wiping the excess dye away with a cotton-tipped swab saturated with 1% acetic acid. Areas that retain the blue dye should be biopsied, but nonmalignant ulcers and fissures may stain blue.
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