There are a couple of possibilities here -
Sex can often cause micro-tears in the vaginal mucosa (basically the inside of the vagina), labia, and near the anus that can be quite uncomfortable.. it can occur more frequently when you haven't had intercourse in some time. You might even notice burning with urination because the urine, which is acidic, can touch the cuts and cause pain. Often within a day or two of this happening, labial swelling and redness along with pain is very common. I would recommend increasing lubrication (KY jelly works well) during intercourse to decrease the occurrence of this. In the meanwhile, I would avoid intercourse for at least a week or two to allow these cuts to heal. Occasionally, I will offer my patients a short term course of vaginal estrogen cream to help the vaginal 'skin' heal faster.
Another possibility includes a yeast infection. Yeast infections typically occur inside the vagina but often can also occur on the outside. The skin near this area can get raw and burn/itch pretty intensely. Over the counter yeast creams like monistat is a great first step; however, if it doesn't improve, I would ask your doctor for a prescription of diflucan - this medicine is more powerful and tends to kill the yeast quite well. However, because this all occurred after intercourse, I would definitely lean more towards microtears than infection.
While I cannot 100% say it is not an STD without seeing it myself, it does not sound typical of an STD.. Herpes have blisters and hurt, Genital warts and sympilis have 'bumps' but don't hurt... Gonorrhea/chlamydia cause discharge from the cervix. Your symptoms do not match up with any of these common STDs.... and although symptoms can arise quickly, most often it takes days to weeks for any symptoms to come up. Again, this does NOT sound like an STD.
If you do develop blisters in the area, I would have a doctor 'swab' the area to look for herpes... but I doubt this would happen as this is most consistent with 'trauma' from intercourse.
The diarrhea I think is unrelated to any of this (diarrhea does not accompany STDs or vaginal/labial tears from intercourse.)
If you need any clarification or have any other questions please feel free to ask. If you are satisfied with my response please click 'ACCEPT'; bonuses and/or FEEDBACK are most welcome. Thank you!
What about the warm feelings on my right inner thigh? Could herpes outbreak be just swelling and burning sensation, if yes what are the probability it will show up like that. Instead of the cuts, the bottom of the labia minora is swollen , and had folds
The micro tears are microscopic tears and the swelling and burning is the result of an immune response to the area on top of skin irritation. That is why I think the labia minora are swollen. When the immune system responds, you typically get swelling and the area can turn red and warm (results from blood vessel dilation). This is normal for micro-tears.
This really does not sound like a herpes outbreak at all... on initial presentation herpes is often a lot more limited than what you are describing - and you aren't describing the class blisters. The swelling and burning is much more consistent with skin damage from micro tears (If the intercourse happened suddenly, you wouldn't have had the chance to naturally lubricate, making this more likely.)
I hope that is more clear. Please let me know if you have any other questions!
Again, what about the warm feelings on the right inner thigh? How come I still have symptoms 3 days later, and the burning sensation feels like its the all vigina, but not painful, and piing doesn"t cause more discomfort. Is it normal that micro tears symptoms last that long and not getting better? I had had yeast infections in the pass but they resolved quickly on their own.
I know I'm dragging on but I cant see a doctor till saturday and I'm worried as I have had cuts in the pass but resolved witihin a day
If it's infection, what type of infections could it be? Again the symptoms appear within hours of the intercouse? and How could it radiate on my thigh? The reason I have been mentioning herpes is because, it's the only one that can not cure, so before to go to the doctor, I really wabt to rule out genital herpes. The warm/hot sensation is still on my thigh but less dicomfort on my vagina area.
You have been very helpful and will add a bonus for your time and your clarification
Don't worry about the amount of questions :) I am here to help. I don't feel that it is herpes-- the area of redness and warmth would not typically be localized to one side and often times you would see genital blisters that are quite painful. The symptoms you describe just aren't consistent with genital herpes. You could have a bacterial infection in your skin (staph is a common one) secondary to sites of entry-- minor cuts from rough sex. It is not strange to me that your labia would have felt swollen and there would be a burning sensation within hours of intercourse. Much like if you were to sprain your ankle, it takes a bit of time for the tissue to swell and become red-- usually a couple of hours is enough time for things to start to show. The vagina is very close to the thigh and if you have an infection of the skin of your vagina it is possible for it to radiate to your leg. Again, I would recommend marking the redness with a pen so we can check progress and also trying some ice packs to your vaginal area and thigh (you can sit with it in between your legs) to see if you can find a bit of relief from that. Ibuprofen might be helpful as well. If you start running a temperature or develop nausea/vomiting or chills I would recommend seeing a doctor (for concern of infection). Take care. . .and heal soon! :)
I already discuss the issue with another expert on this site but i wanted a seconde opinion, she suggested dermatitis, what is your opion on that?
Last question, promise
I did not use condom or anything of that naturea and no sex toys or lubricant. I was sleeping and when I woke up he was on top of me...
You mentioned earlier that its could be an infection... waht type of infection could start that fast?
the infection could last more than 3 days and not get better? in the case of cellulitis?
and if the agents (staph or strep) where presen how long woul it take to heal?
Day 4, I bought Monistat 7 and applied it on the swollen area and it reduced the swelling but I still have burning sensation. I also started to feel tingling sensation all over my body (fingers, feet, tongue, face, legs, buttock etc...) I have had tingling in the pass with no other symptoms), so I don't know if it related to my burning lower part of labia minora or not. I'm also a smoker, and since the high level of stress I have been having due my vagina problem, I have been smoking more than the usual. I haven't been able to sleep much and I have an appointment at Planned Parenthood on Saturday, but meantime. I need some input on my condition. Please read all the messages I have exchange with Dr Aj to have a full understanding of my condition. I will add bonus for the help.
Dollhouse, i'm sorry I didn't respond earlier, was out of town yesterday.
If it is herpes, the prodrome period can last up to 2 weeks (more many over a week); however, as you pointed out, the prodrome typically happens BEFORE the outbreak although in some cases and can pop up during the outbreak as well which MIGHT explain your situation. The other possibility though is this is completely unrelated to your vaginal redness - it is winter and there are many colds/viruses right now, so you have gotten one of those and are having symptoms that 'fit a prodrome' but isn't actually one.
I hope this helps. Keep me uptodate about your progress.
~ Dr. AJ
You are welcome!