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August 5, 1974

Relief of Pain in Women With Genital Herpes

Author Affiliations

Tufts-New England Medical Center Boston

JAMA. 1974;229(6):641. doi:10.1001/jama.1974.03230440017019

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To the Editor.—  The most unbearable symptom in women with genital herpes is pain during urination. The usual measure for pain relief, if lidocaine (Xylocaine) ointment fails, is to instruct the patient to sit in a pan of water and urinate into the water. This is, however, tedious and difficult to carry out except at home. I have found a practical solution to this problem. Simple and effective, it can be carried out in any rest room.A small plastic bottle equipped with a spray top is filled with cold water. As soon as the urine starts to flow, a quick, repeated spraying of water onto the painful area will prevent the pain from occurring throughout urination.I have used this treatment effectively on all my patients with such symptoms. Gynecologists who follow my instructions are also happy with their results. They have also used this for the relief of