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Burning sensation following sexual intercourse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2511 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi
User :   Have you read my complaint?
User :   Or do I need to start over?
Doctor :   I am sorry, I do not have the message containing your complaint.
Doctor :   Are you there?
User :   OK, I am a 42 yr old mother of 4. married 18 years. 4 months ago I started having symptoms of a yeast infection. after treating this recurrant yeast infection without success I went to see my Dr and she swabbed me and told me I had no yeast or bacteria vaginosis. She said I had no sign of an STD and that I wasn't red or swollen. I have burning at the entrance of my vagina and the pain goes back to my rectum. It flares with intercourse and takes days to subside only to flare again the next time we have intercourse. She told me to come back in a week and in the meantime get rid of all known irritants. I have not changed soaps or detergents and there aren't any other "irritants" in my life. Since I saw her I heard that Group B strep can cause these symptoms and I know I am positive for that. I believe it caused preterm labor with one of my pregnancies as well as many UTIs during my pregnancies. I do not however have any symptoms of a UTI right now. Just vaginal burning and itching that flares after sex but never completely goes away. only subsides. Would my Dr have been able to see group b when she checked me last week? Since she said I had no signs of bacterial vaginosis does that include group b?
Doctor :   Group B streptococcus can easily be seen on a swab test done for identifying bacteria and fungi, since the swab test is negative, it includes no infection from group B streptococci.
Doctor :   Further a group B infections can cause much more severe skin and mucosal infections, than just vaginal irritation.
User :   What are the other possibilities. I felt like she was ruling out irritants so I could go back and talk about other possibilities. She wouldn't go into it with me until I came back. I have these symptoms but no redness or swelling or anything. I am so confused.
Doctor :   Do you practise safe sex?
Doctor :   May I also know the details of your menstrual cycle?
Doctor :   Apart from the infections that includes viral (herpes), bacterial, fungal infections and the irritants, other possible conditions that can cause similar problems are vaginal dryness secondary to hormone changes during perimenopausal and postmenopausal ages, tumours, stress factors.
User :   Yes. My husband and I have been faithful. He has no symptoms but is willing to go in and be checked. He is worried that I have developed an allergy to his semen but it hurts before he ejaculates so I doubt that. He had 2 outbreaks of herpes 21 years ago before I met him but hasn't had another one since i have known him 18 years. I told the Dr. that but she said this was not a symptom of herpes. I knew that but I was trying to check everything. I have never had an outbreak. I have had my tubes tied. My menstrual cycle is very normal. every 28 days with cramps and about 3 days of bleeding. I had my levels drawn in May and I don't even think I am perimenapausal.
Doctor :   Ok
Doctor :   Since you do not seem to have perimenopausal symptoms, apart from the infective work up, you may need a biopsy (a colposcopy assisted).
Doctor :   This procedure may be necessary to rule the possible chances of mutations of the cervix.
User :   I don't understand how she could have checked for everything under that microscope while I waited. I had changes in my cervix on my pap smear 2 years ago. (I never miss my yearly appt) and had a colposcopy then. My last pap smear was normal as far as I know.
Doctor :   Other causes responsible for such problems are psychological factors, rare dermatological conditions, lack of lubrication during sexual intercourse and so on.
Doctor :   Since I cannot perform you a physical examination, i can only provide you with the information for the possible causes.
User :   What about Vulvadynia. My sister in law suffers with that. Does this sound like THAT?
Doctor :   Vulvdynia refers to pain or irritation following stimulus to the genital organs.
Doctor :   The cause for this is the same as I had mentioned to you.(infections, skin disorders, hormonal factors, and rarely autoimmune factors)
Doctor :   Cervical mutations have to be ruled out before this condition is considered.
Doctor :   Psychological factors also play a major role in vulvodynia which is also explained to you.
Doctor :   The treatment for such problems is treating the cause.
User :   OK. Thanks. This has been driving me crazy and a week is a long time to wait to get some answers. Might not seem like it,but when you are hurting, it is. What pychological factors? Stress? I am not on any medication.
Doctor :   Psychological factors such as anxiety, depression to some extent can cause varied symptoms which can include symptoms such as yours,
Doctor :   These factors may be considered if all other factors are been ruled out.
User :   I certainly have stress at this stage in my life, but I am an athlete and I do yoga and run about 20 miles a week. OK thanks and have a good day. I guess I'll know soon enough
Doctor :   I suggest you to discuss these with your gynaecologist.
Doctor :   Thanks for consulting me.
User :   I have, but will further. Thanks
Doctor :   Bye for now.
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