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Description:These treatments include sclerotherapy for hemorrhoids and vaginal hysterectomy. Diagnosis As the symptoms vary from person to person and are similar to other medical conditions, similar conditions must be ruled out before making a definite diagnosis. These conditions can include hemorrhoids, abscesses, and fissures. Diagnosis involves a thorough medical examination, including of the genital region. The doctor may also order blood tests and an endoscopy test to look at the lining of the bowel.