Post herpetic neuralgia of the vulva

Dr Jean Watkins discusses the differences between genital herpes zoster and herpes simplex. Sign in. Register Now. Stay signed in. Dr Jean Watkins discusses the differences between genital herpes zoster and herpes simplex Herpes zoster presents with a rash. Genital herpes zoster Aetiology After chickenpox, the herpes zoster virus lies dormant in a sensory nerve ganglion.
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Diagnosis and Management of Generalized Vulvodynia

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Diagnosis and Management of Generalized Vulvodynia

Vulvodynia say: vul-vo-DYNE-ee-uh is a word used to describe pain that involves the vulva. The vulva is the area around the vagina. This pain can come from many different sources. The symptoms can range from quite mild to very severe. We do not really know how often it occurs, because women often do not seek medical treatment for it. It often involves a great deal of emotional and psychological distress, perhaps because it affects relationships so much and because it is hard for women to talk about this problem. While many people think that vulvodynia is a kind of neuropathic pain, the exact cause of vulvodynia is not known.
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At a Glance - Genital herpes zoster vs herpes simplex

It often causes painful blisters that may occur in clusters on the vulva or around the anus. There are two types of HSV. In the past, HSV-1 was associated with cold sores of the mouth, lips, or eyes and HSV-2 was associated with genital lesions; however HSV-1 is becoming a more common cause of genital herpes, especially in young women. The first outbreak may be associated with flu-like symptoms and may last between 2 to 4 weeks. Recurrences of genital herpes are often signaled by burning, itching, or tingling before sores appear.
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We present a patient with PHN in a sacral distribution who had an excellent response to blockade of the ganglion impar using a paramedial approach to the ganglion. A yr-old woman presented to the pain clinic for evaluation of PHN in the sacral distribution. Her zoster outbreak had occurred 7 months previously with severe rectal and vaginal pain followed several days later by a characteristic cutaneous eruption in the vulvar and perianal distribution.
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