Ob-Gyn questions? Ask a gynecologist online.
how old are you?
have you had any children vaginally?
27, no children
are you there?
that said I don't see your replies to my questions
the area is in fact the posterior forchette
did you suffer a tear there before?
what happened 3 years ago?
nothing...it just appeared after normal intercourse, and this is the same tear which never seemed to heal fully and becomes re-irritated with normal, lubricated intercourse. The timing of the tear may have coincided with starting hormonal birth control (nuva ring) which made me feel very dry, but i don't remember exactly. I stopped the birth control about 2 years ago, but it never seemed to heal up.
I have been with the same partner the entire time
is this your one and only partner?
were you every assaulted or molested as a young woman/girl?
no, there was never an injury or assault, or any type of consensual rough sex that happened
doesn't sould like anything serious
small tears can certainly happen with normal intercourse.
the tears can be aggrivated by subsequent intercourse.
this is usually due to scar tissue formation that is less elastic than the normal vaginal tissue.
One thing I think I would at least try is vaginal estrogen for about 6 weeks.
the estrogen helps the vaginal tissue become more robust.
if you were a bit older and had children..another option would be excision and repair.
However, at your current age I wouldn't suggest this until you are done with having children.
will this be a problem when I do have children?
and that is because you are likely to tear during delivery and the excision/repair would be ruined.
No..I suspect you'll tear along the same line
It can be repaired at that time.
tearing doesn't sound good...why is that not a problem?
yea...I understand that.
and what if I would like to have multiple children?
that said...picture a football coming out of the vagina
pretty amazing that it happens to begin with.
some trauma is almost universal with the first child
I think you'll be fine to have multiple children...in the long run.
what you have going on now might just respond to the estrogen and not even be a problem going forward with delivering children.
Since that is a prescription, how would you recommend bringing that up with my physician? I have honestly asked 5 different docs and 4 of those have examined it, none offered a solution except to scrape it and test it for herpes even though that had already been done after the first time...one was downright dismissive when I told her it had already been tested for herpes
yes, I can imagine.
I would simply say I have seen 4-5 ob/gyns with no resolution.
you were online and discovered that vaginal estrogen may make the tissue more robust in this area.
I think that is a reasonable idea and understanding that most ob/gyns would consider.
ok, and what would you try next if that suggestion didn't resolve the issue?
I would probably biopsy it...and then consider excision/revision...as a last resort.
and what would you be looking for in a biopsy?
chronic skin problem - immune mediated
bacterial and viral infections - outside of the herpes testing you have already had done.
if there is nothing else I can do for you please take the time to rate my service.
ok, thank you for your time!