План за лечение

Вашият лекар вероятно ще започне с “тест Q-Tip.” Това е натискане с тампон( приличащ на клечка за уши) върху вестибуларната област с цел търсене на точното място където ви боли. vulvodynia

Следва колпоскопия. При тази процедура, кожата се изследва под увеличение, чрез колпоскоп. Вашият лекар вероятно ще иска да измие кожата с оцетна киселина (оцет) на първо място; области, които се превръщат в бяло показват аномалии на кожата.

Ако колпоскопията показва повредени зони, вашият лекар може да поиска да се направи биопсия. Заявката за биопсия е изследване и на двете двете заболявания – лихен склероза и HPV.

Aко биопсията открие доказателства за HPV само чрез разглеждане на възпаление на кожата и не ДНК типизиране може в действителност просто да ви кажат, че имате възпаление на кожата – което вече знаете, разбира се! Освен това, някои подвидове на HPV са свързани с високи нива на рак на шийката на матката, особено в присъствието на естроген. Повечето видове HPV са безвредни, засягащи външните полови органи, както и на други места по тялото.

Биопсични плюсове: могат да изключват вагинален рак (рядка, но не и нечувана причина за болка); можете да разберете дали имате лишеи склероза, или форма на HPV.

Биопсични Минуси: боли и лечението е дълго време

Един добър лекар  ще тества вагинално рН (което ще Ви каже дали бактериалните нива са нормални), култура за дрожди и за толкова много полово-предавани болести, направете цялостна визуална проверка за молускум контагиозум  и си направете хормонален панел. Трябва да се види дали броя на белите кръвни клетки се повишава (с посочване инфекция) и да предприемете стъпки, за да се изключат автоимунни проблеми, като например чрез извършване на кръвен тест за ANA-скрининг. Лекарят може  да вцепени  повърхността на кожата  с лидокаин и да извърши тест  Q-Tip. В този случай, това е полезно и може да ви каже дали вашите проблеми са повърхностно дразнене на кожата или представляват по-дълбоки нервно-мускулни увреждания.

95 thoughts on “План за лечение

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