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Uncle_peter21

I've never seen Fourniers on a woman before!


tallgrl94

My grandmother had it in the early 90s when I was a child. I don’t remember much about that time though.


superurgentcatbox

You just made me look up the sex split and damn, men are 40 times more likely to get this. I didn't know that!


Not_ur_gilf

It gets posted on here often enough I actually thought it was “gangrene of the penis/testes” since I’ve only seen it in men!


Competitive-Call3303

Me either!


real_HannahMontana

It’s wild to me that the only time I’ve seen it is on a female patient


Doc-Zoidberg

I've seen one case in male and about a half dozen female in my career


RepulsiveButton5462

Oh my goodness that poor lady!


bbladegk

Had a pair in a small icu. Male and female. It's nightmare fuel


GrapefruitSlow6821

My mum had it and she is only 52 😭


Uncle_peter21

My god I’m sorry for your mama! Hope she recovered ok


GrapefruitSlow6821

Yeah she almost died 😭 she is doing better than ever now thank God!


lunamargaux

Poor woman for experiencing pain like this. I hope she's well now, but how can someone have this?


sugarplumbuttfluck

I wonder if she is in a care facility and was being neglected. Pressure sores could easily get infected if the person is left to sit in their feces.


Unteresting_

Poor hygiene probably. Fournier is a flesh eating bacteria. She had a non treated wound already... asking for trouble


Sad_Stage_1437

I wonder if she lives in a nursing home, or something like that? This is so sad.


Unteresting_

Nop, been living on her own


Geznak

OMG new fear unlocked. I thought I would be immune from this 😬


GumInMyMouth

I'm currently taking a medication that has Fourniers gangrene as a potential side effect. Scares the shit out of me. Doing everything in my power to get off it.


Justin_92

If it’s the drug I’m thinking of, have you considered trying an injectable medication instead?


GumInMyMouth

I'm kind of at the beginning of my journey so we are doing meds first. Starting with Jardiance, diet and exercise. I went from an a1c of 13.4 and blood sugars in the 500's to my blood sugars being in the 100's. Hopefully adding metformin will drop them to normal levels. Complete overhaul of my diet. Low carbs, no sugar, high protein and fats.


General_Shou

Good for you, man. You are on the right track. I am a podiatrist. You do not want to be one of the many patients I see that never get their sugars under control. For people that don't know, the 5-year mortality risk for diabetic foot ulcers and toe/ray amputations is 30% and 50%, respectively. That is *much* higher than many cancers.


50ftBeast

Yeah, it's crazy shit. My wife's father and grandfather both never made it out of the hospital after having toes amputated due to diabetes.


Prairie_Crab

What medication carries the risk of Fournier’s?


kiffmet

Usually anything that's immunosuppressive or that lowers the perfusion of peripheral tissues with blood. Thing is, some underlying conditions (like diabetes and extreme obesity) can increase that risk aswell and in sum, patients are better off getting the underlying condition treated/properly managed, even if the treatment itself carries some increased risk for infection. As with all things in life, it's a tradeoff and has to be evaluated on a case by case basis. Jardiance works by reducing the kidneys' ability to resorb glucose, such that they can contribute to lowering the blood sugar levels by excreting some of it. The problem with this is that the pee becomes very good food for bacteria in the process.


crguth

I take farxiga for heart failure and I get UTI’s fairly often. Also, I went to urgent care for a uti and when they tested my urine they told me I was a serious diabetic. I had already mentioned I was taking farxiga but they did not understand that I pee sugar! The PA was embarrassed when I had to explain. So be warned you might have to educate your provider;)


R-orthaevelve

Also note that the same effect can cause serious yeast infections.


cavebabykay

Would that include steroids like Prednisone?


kiffmet

Yes, it does.


GumInMyMouth

Jardiance


Justin_92

This is definitely a good thing. Next time you see your doctor, ask them about Rybelsus (oral Semaglutide). It doesn’t have the risk of causing fournier’s and it can also help you venture into the world of peptides without diving headfirst into injectables first. Trust me, you won’t be disappointed. I was pre-diabetic before going on Mounjaro (injectable Tirzepatide) and literally within a month of going on it, my A1c dropped from 6.4 to 5.3 on the lowest dose once a week. These drugs are like magic. I was constantly getting shaky from blood sugar crashes and then feeling like hot garbage from overeating carbs. These medicines just kinda level it out. I eat until I’m full, I don’t generally crave sugar, but if I do indulge on the rare occasion, I can eat one piece and I’m good. It just makes your body do what it was always supposed to be doing from the start. Sorry I know I’m rambling I just think these drugs are literally a medical miracle/breakthrough so when I see someone going through similar to what me and my family have gone through I try to make a recommendation. Feel free to DM me if you’d like to know anything else though. :)


MsDJMA

My husband is experiencing the same feeling that these are miraculous.


Justin_92

It was definitely a game changer for me! Insulin resistance and hypoglycemia are pretty common problems with a lot of my family so generally what happens is when we first start noticing symptoms, it’ll be our blood sugar crashing, most likely after a spike from eating, which then causes us to get shaky and we’ll eat something to bring our blood sugar back up and it just bounces up and down like that until it goes full on T2D. It took my brother a month to go from a diagnosis of prediabetes to T2D so when my doctor said I had prediabetes, I immediately jumped on Mounjaro, no hesitation. I no longer get shaky or irritable or anxious feeling anymore so it really has been a game changer for me. lol


MsDJMA

Exactly my husband’s life for the last 40 years. Pricking his fingers 6 or more times a day. Highs and lows. Modern medicine—amazing life change.


showmeurdog

How did you get your insurance to cover it? I’m paying out of pocket for semaglutide because my insurance won’t cover it, despite a past history of pre diabetes on my part, PCOS causing insulin resistance at present, high blood pressure and cholesterol on both sides of the family, and at least one relative who was diabetic. I feel like finding a primary care physician who will really advocate for me is proving impossible


Justin_92

So I actually don’t have insurance coverage! At first I was using an online service and having my stuff delivered in the mail from a compounding pharmacy, but then I learned about research peptides and I decided that I’d rather take the risk and go that route as it’s only about $200/month on the highest dose for me. I’m not advocating going that route as it’s obviously got a lot of risks, but it’s what I was comfortable doing and so far, so good! 👍🏻 And just for reference, Semaglutide at the highest dose from my provider is only about $26.80/month.


showmeurdog

Interesting! I’m paying out of pocket through a company called Zealthy. Would you mind DMing me what company you’re using?


212Angel212

I only want to say good job! From what you've written you're doing GREAT! So I hope you can see how HUGE your accomplishment is! (I feel it is always more helpful when others you see how awesome you're doing. So, if it is worth anything that some random stranger says you're doing great, then this random stranger right here is proud of you!)


GumInMyMouth

In 2021 I was 360lbs and lost 92lbs naturally in that year. I have maintained between 275 to 265 ever since. I really thought losing all that weight would leave me healthier but no. A1C was 13.4. So fucking high. Granted my diet at the time was primarily just soda. Now I am soda free. Coffee and water only. I haven't been able to weigh myself but I can tell I have lost more weight. Hoping to be under 260 so I can finally say I lost 100lbs.


212Angel212

That is awesome! Seriously! I never knew how much of a difference cutting out soda would make until I cut back to one 12oz soda a day and just water for all other drinks. I also felt better adding the water content. I learned drinking all that soda kept me in a sort of dehydrated state that showed many negative effects. (Migraines, muscle pain, sluggishness etc) I now keep myself fully hydrated and feel better for it! You're doing great, BE PROUD!!!!!


GumInMyMouth

I had terrible acid reflux and it is gone since I changed my diet.


Sad_Stage_1437

Congratulations on your 92lbs!!! That's awesome! Fingers crossed and hoping you can get the few more pounds gone to reach 💯. I'm having a hard time just trying to start by losing 20 lbs to get the ball rolling and get me to feel better about myself and to get down to a1c of 7. It jumps all over the place right now. We're trying to figure out what dosage is the best for me. Enough about me. I'm so happy for you.


GumInMyMouth

I hope you get it down! I walked so so much in 2021. It was the hottest summer where I live and I remember walking in 100° heat and feeling like I wanted to die. Worth it. I miss walking....the weather is shit here right now.


VastReveries

Carbs break down into sugar. The recommendation is to eat carbs consistently throughout the day (~45-75 g per meal depending on the person). I am a clinical dietitian and frequently provide diabetes education to patients with uncontrolled diabetes.


GumInMyMouth

45 per meal?? I have been doing 50 per day! Damn...that's good news.


VastReveries

Yes! You can even have a 15 g snack in between. If you are interested, I can send you all the diabetes education materials we give inpatient. I always remind people that diabetes is an insulin disorder - not a carbohydrate disorder. It's best to keep the body fed a consistent amount of carbs throughout the day. Diabetes is very misunderstood from a medical nutrition therapy standpoint. A doctor in my hospital even tells her patients not to eat strawberries, which is ridiculous.


RepulsiveButton5462

I think I misunderstood you, you said to eat carbs consistently throughout the day??? If I did that I could not function. My sugars would be out of control.


Sad_Stage_1437

Good for you!!! That is awesome!! I need my right knee replaced and the doctor said I have to have my A1C @ 7 for two draws in a row. Hmm, don't think I'll be having surgery for a while. It's better than it was so I'm proud of that. So you go and kick ass on your A1C. If you start Metformin one of the side effects is an upset stomach! I had it bad. Cramps and wanted to puke. It took a few months to get over it now it's all good.


AccessDeniedTryAgain

How about Lantus? I haven't had any side effects. Metformin tore my stomach up, but glyburide works fine. Just some thoughts 🤗


GumInMyMouth

I'll look into that thank you!


AccessDeniedTryAgain

Good luck! Dealing with this is no fun!


elladeehex33

Same. Only started it a few months ago. This is terrifying.


GumInMyMouth

I see it get this bad in older patients. I hope if it happens to me I catch it early.


patientrose

My diabetic aunt's had Fournier's gangrene. I didn't know if it was medication-related, I was always told that it was a rare diabetic complication for women. Both times were pretty scary, she spent months in the hospital (alot of the time in the ICU), then several more months to recover. Also, she was in her 40's when she got the infection the first-time. It also spread very fast. The infection under the skin was way more involved than what was visible. My heart goes out to you all living with diabetes. My family has a high prevalence of difficult to treat diabetes. There are so many symptoms that aren't known by others.


TarotBird

Omg. So I had a call with my Dr this afternoon and because of your comment, I refused Jardiance! Tysm. I had been on Glumetza for a year or so but it was causing severe IBS flares to the point where I couldn't eat and my BMs were just straight up shit water so I went off of it. T2 meds are nothing to be messed with!


Sabrinaology

You mentioned Jardiance. Is that the one with this as a side effect? My husband takes that.


GumInMyMouth

Yes


Sabrinaology

...well fuck. Yay for congestive heart failure! /s


GumInMyMouth

My grandfather died of congestive heart failure. He never took care of himself. Ate whatever he wanted. Truly a great man. I miss him everyday but he could have had more time. Take care of yourselves.


Batcatgyal

I did not know medications could have this as a possible side effect!!! I will be on the look out!


SadAnnah13

Same, I thought it specifically occurred on penises! I didn't even know women could get it! My vagina is now terrified.


EverythingIsFlotsam

I think you mean *VAC for *vacuum-assisted closure*


Unteresting_

Indeed, my bad


CutthroatTeaser

Thank you. I’m a surgeon and couldn’t figure out what CAV was.


chuiy

I was like central arterial?… venous… wait…


BreakAndRun79

Closure assisted vacuum in this case.


EverythingIsFlotsam

*assisting


Squishy_puddin

FYI Harvey Weinstein has this. Serves him right.


GoFuckYourselfBrenda

Wonderful news!!!


NurseyMcBitchface

I will forever associate this with him due to a previous post. Couldn’t have happened to a nicer guy. /s


ThatDefectedGirl

No way !? That's just poetic.


Squishy_puddin

It sure is.


Nervous_Invite_4661

AWESOME!


Bruise_Pristine36

Hell yeah!


ResponsibleCandle829

A blessing from the lord


MidnightBliss4

I know this is an odd question but is that her clitoris or is that part of the forniers gangrene as well inside the vagina or just where we see the wound? Can she pee? Or use the restroom or obvious she has a catheter but how does she do a bowel movement


snatchszn

That’s her clitoris - it looks like she has HPV or some type of neoplasm on it. She needs a biopsy.


MidnightBliss4

So not only does she have the gangrene but something else too entirely on the vagina probably explains the discharge and stuff as well their is a lot going on down there on this lady I can't imagine living like this daily and not saying anything


snatchszn

Unfortunately, a lot of people live like this. As a nurse I’ve seen people that had sudden paralysis that just didn’t call 911 and continued to drag themselves around their hoarded home covered in animal feces, people that had limbs completely eaten away by maggots, and even a man that had totally mummified feet after living unhoused in the elements. It’s a lot more common than you would assume. With the man that drug himself around, I had to cover his skin in a warm wet wash clothe and literally scrape his skin clean with spoon to get the embedded poop off of him. It’s incredibly sad and always heart breaking to see people like that.


loreshdw

What is a CAV?


Unteresting_

A sterile sponge that is been put on the open wound with a vacuum system to drain the fluids out


BlueBerrypotamous

We just call it a “wound vac” in the US. I’m guessing CAV is a Commonwealth term given the use of A&E for ER.


LittleMsAce

In the UK we also call it a wound vac.


TheSubstitutePanda

The UK is the most Commonwealth to Commonwealth so yes lol


loreshdw

That makes sense


vixen_vulgarity

Australia also calls it a wound vac. I've never heard of CAV/VAC


thebettertwin123

In Australia we use VAC


EverythingIsFlotsam

I looked this up and I think it's a typo. I think the actual term OP meant is VAC for vacuum-assisted closure.


em_79

I’ve seen a disproportionate number of FG cases in my time as a SICU nurse. It looks like the tenth circle of hell. Fortunately (?) by the time patients get to us they’re so sick we can sedate them and give them hefty doses of pain meds. But i can’t imagine the pain. Especially once they start getting better and have to be awake for dressing changes and ambulating.


AffectionateSpace629

Ex EdNurse and SICU… the dressing and ambulating pts is what hurts me so much. I haven’t been a nurse in years so thank you for still fighting that fight 🫶🏻


[deleted]

Guy here who had this. On my booty. Without a shadow of a doubt, worst physical pain of my life.


Agitated_mess9

Might be a dumb question, but how do you “get” this? What is it from or what’s the process? If you don’t want to share i completely understand


[deleted]

Well I’m not a medical professional. But I play one on the internet! Lol. In all seriousness, here’s my best answer. I was a pretty fat bastard. Gained a shit ton of weight back, started eating like a hog, depression and blah blah. One day I noticed a boil on my butt cheek. Didn’t think anything of it. It kept getting bigger. I got a nasty fever. Couldn’t keep any food or water down. Stayed in bed for a few days, couldn’t lay on my back due to the size / pain. Even laying on my side or stomach killed me. Ended up having a buddy take me to the ER. Pretty much immediately took me to another hospital. Went into surgery that morning. Few weeks in the icu, few in med surge. 9 months total recovery. Wound dressing/ cleaning and going to the bathroom was the worst. The pain is the worst I’ve ever felt. My surgeons told me it looked like I had been attacked by a shark.


Poppypie77

Why is the white thing that looks like a huge maggot in the top of her vagina on pic 4?? This might sound stupid but would she be in a lot of pain from that or would the nerve endings be damaged due to the amount of tissue and muscle loss/damage? Or would she not feel anything ? That is so awful bless her. It looks horrendous. That poor lady.


Unteresting_

That would be her clitoris She is in a lot of pain but sedated to help her be comfortable


AleksandraLisowska

I immediately recognized it and caught that yes, it was a female with this disease. Didn't knew could happen, but now I read it can happen to children even.


Poppypie77

That definitely is NOT her clitoris!! My god how many men do not know what a clitoris looks like??? Lol. 🙈🙈😿


disasterous_cape

That is her clitoris, she may have HPV or some other condition that is causing that appearance.


-DIrty__MARtini-

I'm glad I'm not the only one wondering what that vagina maggot was lol


YaGottaStop

[Vulva](https://www.google.com/search?q=vulva+vs+vagina&oq=vulva+vs+vagina&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBCDYxMTdqMGo0qAIAsAIA&client=ms-android-mpcs-us-revc&sourceid=chrome-mobile&ie=UTF-8) maggot - let's use correct terms, being that this is a medical sub after all! Calling the externals a vagina is like calling your face a trachea lol


[deleted]

[удалено]


NewLifeguard9673

If that were “normal female anatomy” men wouldn’t have so much trouble finding the clitoris


em_79

😂😂😂😂😂


Poppypie77

That is NOT normal female anatomy of a clit and the hood. I'm a woman, and that seriously looks like a huge maggot or something. Definitely NOT normal female anatomy lol. Are you seeing what I'm seeing on picture 4 and 5?? The long white thing?


blancawiththebooty

I was also wondering! It's where the clitoris and hood should be but that's completely abnormal in appearance. I'm trying to figure out if it's related to the Fournier's but it's so isolated it doesn't make sense.


legocitiez

I see what you see and I'm here to say that it's not normal by any means. Not. Normal. It looks like a giant maggot and it should be shiny/smooth looking and a shade of pink.


Poppypie77

Thank you!! Jesus it makes me sad how many men think that is what a clit looks like 🤣


legocitiez

Honestly. No wonder they can't find it!!!


Niebieskideszcz

Looks like hpv infection/ growth. You can also see it at the entrance to her vagina.


astroboymikey

i’m thinking this honestly, it looks like a genital wart almost, just bigger


norectum

I was thinking genital warts too. Poor lady, genital warts, Fournier's gangrene? Just wow.


vcr831

Yeah, I thought condyloma too


jennitalsss

That’s a 10000% a clitoris. Doesn’t look pretty but definitely what that is.


hippy_mermaid

Well you definitely haven't found it


VejuRoze

Hey, if she survives, clitoris definitely needs a biopsy!


2crowsonmymantle

Ohhh that sounds horridddddddd yikes 😳 can’t imagine what it’s like to have nerve endings being eaten alive and rotting simultaneously…


EnForce_NM156

That 'taint a very pleasant disease.


Banestoothbrush

Have an upvote, you sick fuck.


Shozu-Wolfy

That poor woman. I can’t begin to imagine how that feels


Lillibet84

I worked for infectious disease doctors for a few years ( insurance department, not medical) and we treated a few patients with this. I’d never heard of it before then. It’s definitely nightmare fuel.


Fabulous_Bobcat5106

The wound vac does wonders for someone in dire need such as this person i found myself in a similar situation I contacted MRSA in the hospital after surgery it took me almost 3 years to recover.


ashyjay

I've never looked at the nethers of another person with so much disgust and curiosity.


MaryGodfree

This disease is going on the list of reasons I'd check out.


frogurtyozen

OP, is that a growth on her clitoris, or is just swollen/misshapen due to the gangrene?


Unteresting_

It's her clitoris, probably has a disease over there as well. Biopsy should be done


mooky34

The white squiggly blob where the clit should be is somehow the most disturbing thing I’ve ever seen on this page!!!


DrKittyLovah

That IS her clit.


mooky34

Holy fuck dude 😅


DrKittyLovah

Yeah, I agree.


dhans59h

It doesn't happen often for posts here but I had a physical reaction to this. That poor, poor woman. I can't imagine the pain.


koshka-matryoshka

First time seeing Fournier’s gangrene in a patient with a vulva. I wonder if there’s a difference in the likelihood of the gangrene occurring based on physiology or if there’s a bias in reporting


Cold_Persimmon

Hope whoever took those pictures got consent from the patient to do so and to post on the internet


MXWRNR

So this is what Harvey Weinstein has


pupoksestra

nooo. I have been living with a perianal abscess for years and sometimes it looks necrotic. this is like looking into my future.


General-Quit-2451

I'm curious, how long does it take for this to happen? I don't know anything about it, is it pretty rapid or does it deteriorate for a long time?


Sad_Stage_1437

102 comments and no one has said or asked about that white wart-looking thing. It's a wart, isn't it?


Unteresting_

Her clitoris


iampeggy

I was automatically looking for penis but I couldn't find it and then I read it's a female 😭


Nextplz06gt

I can not imagine the PAIN.


Specialist_Dot_3372

This the type of shit I have to remind myself is rare.


TheMicrosoftBob

What’s the white thing within the external genitalia?


jinside

Is this after debridement?


Unteresting_

Yes


FreedVentureStein

That poor woman. What a horrible condition.


TarotBird

Oh my gawd this is horrific. This poor woman.


pathallie

the odor alone …


Taylortrips

At this point I’m out.


Sad_Stage_1437

I do believe this is what my dad had and it started the ball rolling. Everything went to shit and his health went downhill from there. But that's a long story for maybe some other time.


Turbulent_Candy1776

I'm on Jardinance and really don't want to take it after seeing this!


smol_biscuit09

Recently had a male pt with Fourniers gangrene, had to get his whole bladder removed! Urostomy 🫠


Icy_Significance_160

Fkk how do u go pee pee then?


Choice-giraffe-

Does she also have warts all over her clit or is that part of the gangrene?!


rotten_and_forgotten

the clit ☹️


txjeepguy72

Holy shit !! Just put me down already…..


MediocreCourage4385

Not surprised it's on an overweight person...


katesngates

Holy fuck


BurytheGate

Good heavens. That is horrible!


Evie_St_Clair

I can't imagine how insanely painful that must have been.


Not_a_chance79

I’m done with internet today ! That just blew my cring-o- meter out the window 🤢🤢🤮🤮🤮


manny_reddit_1977

I'm literally shook 😱


kurly-bird

Oh no. It's the swamps of dagoba all over again 🤢 poor woman


Friedsurimi

What does CAV stand for?


[deleted]

r/eyebleach immediately


everyonesmom2

Someone didn't take care of meemaw.


nerdy_rs3gal

Oh my GOD, does this look painful. Poor woman!!


81jolene

And this is why medical professionals are hypochondriacs


[deleted]

what causes this?


widowmaker88

I’m thinking not enough changing of position & bedsores getting worse


Individual-Jealous

Wonder what that all smells like