Vestibulodynia

Patient ID:Andreea Sex:F Age:36

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?
Vestibulodynia/Vulvodynia with pain, burning and stinging sensation as on raw skin during intercourse. Very low libido.


2. What other physical sufferings do you have in your body?
Hair loss, dry skin and nails with nail biting compulsive habbit,
Polycystic ovary syndrome with insuline resistance, low estrogen and hight testosterone levels.
Hypothyroidism after total thyroidectomy
High cholesterol.
Varicose veins.

3. What mental sufferings / feelings do you have associated with your physical sufferings?
Sadness, frustration

4. What exactly do you feel when you are at your worst?
Pain, I feel like crying

5. When did it all start? Can you connect it to any past event or disease?

3-4 years ago. After second childbirth, maybe connection with low libido because of hormonal imbalance and fatigue.

6. Which time of the day you are worst?
Evening

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Aggravated by intercourse and contact.
Ameliorate by lubricant or cold water.


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

Vaginal dryness and low libido.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
Cold weather, humid weather

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
Introvert, I feel good alone, trying to understand myself.

- How do you feel before or during a thunderstorm?
Peaceful

- Do you like being consoled during your tough times?
Yes

- Are you sensitive to external stimuli like smell, noise, light etc?
Sometimes to noise if it is rhythmic in the background.

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Nail biting

- How do you feel about your friends, family, your children and especially your husband / wife?
I feel quilt that I have a better life that my mom and grandma. I don't find the connection with my daughter but I feel very connect with son. After 10 years I started being open, natural an connected with husband.

11. What are your fears and do you dream of any situation repeatedly?
Fear of heights.
Fear of not being able to stand up to my alcoholic uncle.


12. What do you crave for in food items and what are your aversions?
I crave for salty foods
I don't really fancy for animal protein.


13. How is your thirst: Less, Normal or Excessive?
Normal

14. How if your hunger: Less, Normal or Excessive?
Less

15. Is there any kind of food which your body can’t stand?
No

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Sweat more on the back and under breasts

17. How is your bowel movement and stool type?
Normal

18. How well do you sleep? Do you have a particular posture of sleeping?
On the side. Not very deep sleep


19. Do you think you are able to satisfy your sexual desires in general?
No

20. How do you think you are different from others, if at all?
I am different because I try to find my purpose.


21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
Lidocaine gel, estrogen gel (I felt a bit relief), aldactone to lower the testosterone

22. What major diseases are running in your family?
Heart and circulatory conditions

23. Describe, how do you look like? Describe your overall appearance
Petite female, nice apparence, fit but with a bit of fat around waist due to hormonal imbalance.

24. (ONLY FOR FEMALES)

Please answer the following questions:
(Please give details of your past menstruation if you have attained .)
- Are the periods early, regular or late in general? How long do they last?
Regular, lasts 2 days

- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?
Sometimes back pain

- Is the flow scanty, normal or excessive?
Scanty

- Is the blood thick bright red or pale watery?
Bright red

- Do you notice any clots in the flow?
Rarely