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Cause of vaginal pain ,family history of vulvar cancer - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 622 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query
User :   are you a gyno? or just a regular doctor?
Doctor :  
I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
Doctor :   are you there?
Doctor :  
please proceed with your health query
User :   great. I have a few questions. My first main question is about vaginal pain. Growing up, as far back as I can remember I have always- at night only- had an irritable pain down there once and a while. I remember being as young as 8 or 9 and having this problem. Its like a burning sensation, along with an itchy
User :   feeling
User :   it only comes once and while and last one night
User :   i went a few years without it. but it started up again.
Doctor :   ok
Doctor :  
please provide your age, location, height and weight
User :   22,
Doctor :  
is there any discharge associated with this pain in vagina?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   you there?
User :   no no discharge
Doctor :   yes I am very much here
Doctor :  
ok
User :   i remember that my mom would tell me to put some vagisal cream on it
User :   it would help
Doctor :  
are you sexually active?
Doctor :  
where is the pain? is it outside the vagina or inside the vagina?
User :   yes I have been with my boyfriend for two years. the pain is inside but close to the surface. because i can move around the outer vaginal lips and it relieves the pain for a second or two
Doctor :  
ok
Doctor :  
the vaginal pain that is present all the time in mostly due to infectious causes
Doctor :  
but the pain coming once in a while as a shooting pain could be due to the sexual arousal itself
Doctor :  
which is known to cause engorgement of the vaginal blood vessels supplying the vagina
Doctor :  
which when dilated due to sexual stimulation or emotion
Doctor :  
can cause pain
Doctor :  
which is relived by manual stimulation of the vagina and vulval parts for some time
Doctor :  
are there any other symptoms apart from pain that you feel in the vagina?
User :   okay. thats somewhat of a relief. There are no other pains. I just find it weird that it happens for one night only, and only once in awhile
Doctor :  
have you followed what i have said uptil now?
Doctor :  
ok
User :   my mother had vulvarian cancer so i worry sometimes
Doctor :  
ok
Doctor :  
then i would suggest you to do these few things since there is history of vulval cancer in your family
Doctor :  
1) get a thorough vaginal examination done by a gynac
Doctor :  
2) at the time of examination get a PAP smear taken from cervix
User :   so a pap test isnt sufficient enough? i get a pap every 6-8 months.
Doctor :  
3) rule out posibilities of vestibulitits, and bartholin glands involvement by the examination
Doctor :  
what dis the last PAP test say? and when was this done?
Doctor :  
4) get a vaginal smear tested and a culture from the smear taken to rule out infectious causes if any
User :   well I didnt get any results back. they only call if there is a problem. they called my sister to say she has irregular cells or something along those lines. but they have never called me back after a pap.
User :   okay i will schedule to see a gyno asap
Doctor :  
you should be knowing the reports, please make sure that you get to know the reports as any mild change can affect a lot
Doctor :  
and early detection will help you to get a positive treatment result
Doctor :  
have you folowed what I have said?
User :   yes i have. i have saved this conversation so I can follow your advice.
Doctor :  
is there anything else i can help you with?
User :   I just have another question
Doctor :   please get the suggested tests done ASAP
Doctor :  
yes, please proceed with your next query
User :   about a year ago I was told I was anemic. I had very low iron, and very very low b12.
Doctor :  
you can get the entire chat history back by clicking on your
Doctor :  
'accounts and setting
User :   i got tested again and I am still anemic regardless of the vitamins
Doctor :  
page and export the "chat history' to your e-mail id
Doctor :  
ok
Doctor :  
are you taking any iron suppliments?
Doctor :  
do your vitamins contain iron too?
User :   i have very low energy, and get out of breath all the time. and I have gained over 30 pounds since last january because I have no energy. i get winded just by climbing stairs and my mucles hurt in my legs just from walking
Doctor :  
are you following a well balanced diet?
User :   i do take iron and b12 and a multi vitamin
Doctor :   your symptoms are due to anemia
Doctor :  
what were your blood tests levels like?
User :   and yes I eat meat, and vegatables everyday
Doctor :  
ok
User :   I am not sure. normal from what I can tell.
Doctor :  
ok
Doctor :  
do you have the reports with you now?
Doctor :  
if yes, can you type the results ?
Doctor :  
was 'peripheral smear' test done for you when doing the blood test?
User :   no. last time I got my bloodwork done I wasnt presented with reports. I go to my colleges clinic for all my health problems, and they dont present me with any forms
Doctor :  
ok
User :   i took a paper to a lab but they didnt give it back
Doctor :  
then i suggest you to go to your PCP, and get these test done
Doctor :  
1) a complete hemogram, 2) TSH, T3, T4 levels
User :   alright
Doctor :  
you can discuss the reports with me once you get them done
Doctor :  
continue to follow the iron and the B12 supplements along with the diet
User :   what about the b12 shot? do i need to be recommended for this? if the vitamins arnt helping shouldnt I have the opportunity to get the needle?
Doctor :   we also provide diet and nutrition services
Doctor :  
you can make use of them
User :   okay great
Doctor :  
first get the tests done and then we can see if you need to be given any shots
Doctor :  
you can follow the link given below to make use of this service
Doctor :  
WWW.WWWW.WW User :   alright I will. i will take this information into a clinic then. Just one more thing, I dont really like the clinic at my school. can I go to the clinic in the hospital or are they for emergency use only?
Doctor :  
and read more about the problems that you face in this link
Doctor :  
WWW.WWWW.WW Doctor :  
you can definitely go to a PCP outside your regular clinic
Doctor :  
and visit any hospital
Doctor :  
they are for day to day problems also and not just for emergencies
User :   ok thank-you so much. I have recorded the information. that should be all i need right now
Doctor :  
is there anything else you would like to ask me?
User :   not right now. thank-you. perhaps after the results are in. thanks again
Doctor :  
Please fill the feedback form and the comment box, and say done when done.
User :   ok will do
Doctor :   Thanks for consulting HealthcareMagic. Bye for now.Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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