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Recent Vulvodynia questions

How can you tell the difference between a UTI and

How can you tell the difference between a UTI and vulvodnyiaJA: Have you seen a doctor about this yet? What medications are you taking?Customer: I have in the past, urine test always negative. Testing by urologist as well. I tried to get in with my PCP yesterday but was not able to. No medicationsJA: Anything else in your medical history you think the doctor should know?Customer: Hysterectomy/bladder repair 21 years ago, history of pelvic pain, IBS, and fibromyagiaJA: How long have you had the pain? What seems to make the pain better or worse?Customer: Started day before yesterday. Pain constant ice helps a little

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,766 satisfied customers
My Daughter has symptoms of vulvodynia and it seems that

My Daughter has symptoms of vulvodynia and it seems that cause and symptoms as well as a cure are all over the board. It seems to come down to hormone imbalance. She has been suffering silently for years and i don't know what to do to help. She says it hurts all of the time and that sex in absolutely unbearable. HELP!!JA: How long have you had the pain? What seems to make the pain better or worse?Customer: She has had it since high school when she started taking the pill for heavy periods and she is now nearly 23. It hurts everyday and the GYN's we have seen are rather dismissive. She is not convinced that a diet change is in order. We both have celiac disease and feel our diets are already complicated. He GYN put her on nortriptaline (SPelling) and it makes her so sleepy that she cant function. She does not want to be on it for the rest of her life...JA: Anything else in your medical history you think the doctor should know?Customer: Played soccer since she was 5, years of club soccer and 4 years of collegiate soccer... She has always had bladder control issues and did some therapy when she was younger because she felt she could not control it while playying soccer. She has had chronic acne issues and did a year of acutane. it helped the acne to a degree but messed with skin dryness and she has significant hair loss. Lately the acne is coming back and it it cyst like not just acne. She had this cyst like acne on her back before acutane. This child had chronic ear infection and a baby and was on augmentin for years. Had surg and tubes in her ears. She gets sick easily and had been diagnosed at boarderline narcoleptic. She does take nuvigil but would rather not. She is chronically tired. She is so done with having so many issues and it is so depressing. She is a beautiful young woman who is scared of another relationship where the man does not understand how sex can be so painful...

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,766 satisfied customers
I noticed that I have been very tender while having sex and

I noticed that I have been very tender while having sex and now I feel like sore dry skin insideJA: How long have you had the pain? What seems to make the pain better or worse?Customer: For about a week but I only notice it when having sex. It seems worse when having sex, also I feel kind of drier than normal.JA: Anything else in your medical history you think the doctor should know?Customer: I have a friction bump from condoms but this doesn't feel the same:

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Dr Josh

Doctor

B.A.M.S.

5,952 satisfied customers
First time sex with a new partner (semi circumcised...if

First time sex with a new partner (semi circumcised...if that is a thing) and I could smell a terrible smell on his penis. I assumed it was from a lambskin condom he used that I had never seen before, BUT the condom broke while putting it on so with poor judgment we continued without. I actually stopped him not long into it because the smell was such a turnoff. I made up an excuse and left. I went him E a showered and washed and good as possible. It has now been 10 weeks(!!!) and after visiting with my OBGYN and being tested for everything under the sun, (BV twice) and all tests coming out negative, and even taking antibiotics for BV, it's worse! While on the antibiotics the smell decreased but as soon as I stopped, it comes back with a vengeance. The same with my PEROID (deminishes and comes back worse after). My OBGYN scares me bc she said she does not know what it is or how to treat and referred me to a Vulvodynia specialists whom only accepts PPO's (I have HMO). But once I look up what a Vulvodynia does, it does not sound like what I need. antibioticsJA: Is this your first time reaching out for information about this?Customer: NoJA: Anything else in your medical history you think the doctor should know?Customer: I have been tested positive for HPV 13 years (or so) ago

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Dr David

Radiation Oncology Attending Director

Post-Doctoral Degree

54,094 satisfied customers
I was diagnosed with dyspareunia a few days ago because I

I was diagnosed with dyspareunia a few days ago because I experience intense pain when my partner attempted penetration. Due to the pain, the penetration was unsuccessful. My gynecologist suggested that pain especially on the outside of the vagina is likely to have a psychological cause. I wanted to have intercourse and everything was consensual. So I am not sure what is wrong. If it is indeed not a medical issue causing the pain, what are the possible causes and what treatment should I seek, if any?So far I have seen treatments like sex therapy, using vaginal dilators and working with a pelvic floor physiotherapist to learn to control the muscles. But how can I know what treatment to seek, or can it just be not enough foreplay or maybe not enough lubricant is used?I am 21 and I hope to have a sex life, please help.

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,766 satisfied customers
I am writing because I am concerned by a vaginal issue that

Hello, I am writing because I am concerned by a vaginal issue that 3 different Drs/Nurse practitioners have not been able to solve.Background:I'm June, I had an abdominal myomectimy to remove a 14cm fibroid. A few weeks after the procedure, I began to experience very strange discomfort on the labia minors and the vestibule. It is not painful, but I am often uncomfortable.I have received 3 STD screens- all have been negative. No screen found yeast infections.I have had 7 instances of this reoccurring weirdness. (In about 4 months). The discomfort usually lasts between 4-6 days. I can find no pattern in timing and am wearing cotton undies and using free and clear soap. One Doc prescribed me an antiviral (thinking it was herpes), another one suggested dabbing on cortisone, and the latest gave me some estrogen cream to try.The OTC cortisone probably worked best, ***** ***** estrogen cream is leaving me feeling more uncomfortable.From what I can see, I have redness and sometimes I can see white patches. I get no headaches or fevers or swollen lymph nodes. It is not painful to urinate, or not painful in general.Do you have any ideas on what is going on that I may bring to my doctor?I am 33, white, non-risky partners, I've been on low dose birth control for almost 15 years.

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,766 satisfied customers
Should I see a sex therapist if I have no sex drive and my

Should I see a sex therapist if I have no sex drive and my partner and I haven't had sex in two years. Also having sex hurts most of the time.JA: How long have you had the pain? What seems to make the pain better or worse?Customer: If I'm very sexually aroused there is very little pain. But I find it very hard to get to this.JA: Anything else in your medical history you think the psychologist should know?Customer: No I don't think so.

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,766 satisfied customers
I see there was a question here about applying vitamin e to

Hi - I see there was a question here about applying vitamin e to the vulva. My question is as follows -I was diagnosed with vulvodynia but what really bothers me is the clit.Nothing seems to have worked well for me Not even the anti depressant ointment they prescribed. I got fed up and took a good look myself and lifted "the hood" from over my clitoris and it was all white with crap - perhaps it's left overs of ointments and soap or whatever. However uncomfortable it was i tried to clean it with a qtip the best I could _ and i have to say there was alot of sense of relief immediately after it. Sex was totally different! Almost like before..But now the "under the hood" is somewhat burning. The anti depressant oitment doesnt help in reducing it and i read somewhere that someone used vitamin e on it, that it stung rela bad but after that it was gone for ever.I understand that that I can use vitamin e - i just want to make sure that the seriously sensitive soft tissue that seems terribly irritated under the hood - is still ok as well - or perhaps it's considered an inner tissue that nothing is supposed to touch it.Than you so much!However today - it burns

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Dr Uzair

FCPS (R) General Surgery

M.B.,B.S. FCPS

9,998 satisfied customers
Last during sex with my boyfriend the penatrarion hurt more

Last during sex with my boyfriend the penatrarion hurt more than normal. And after when I was cleaning up I noticed a dark gory substance when I wiped my vagina. Is this something I should be concerned with? It was this only one time I noticed it happening for the rest of the night and day I was okay.

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Dr Josh

Doctor

B.A.M.S.

5,952 satisfied customers
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