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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful To Have Intercourse. Urge To Urinate, Burning Urination. White Discharge. Swabs Negative

Hi, I have been in agony for 2 years now. My vagina is often red raw and intercourse is very painful...almost impossible. I also feel the urge to urinate and that burns too. I feel like there is a fire down there. Even though there is a bit of white discharge it is very dry down there. I have been tested for ALL STDs, Candida , etc etc...all swabs come back negative. Recently I started to produced breast milk even though i have not been pregnant. I have head aches too and for the first time in my life have been experiencing panic attacks out of nowhere...I am not stress...just cooking or watching t.v and they happen. My blood test show that I have high prolactin and low oestrogen. I have been check for a tumor on the pituitary gland ...this came back all clear.
Mon, 23 Nov 2015
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OBGYN 's  Response
Hi,

These look like hormonal changes which occur with menopause. The low estrogen causes the vaginal dryness and burning micturition. The headaches and panic attacks could be due to withdrawal of estrogen causing vasomotor symptoms.
For the vaginal dryness, you should use local estrogen cream.
For the other symptoms of increased prolactin, which is causing the secretion from breasts and headaches, you need to take bromocriptin or cabergoline. Please consult an endocrinologist for the prolactin control.

Hope this helps.
Regards
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Painful To Have Intercourse. Urge To Urinate, Burning Urination. White Discharge. Swabs Negative

Hi, These look like hormonal changes which occur with menopause. The low estrogen causes the vaginal dryness and burning micturition. The headaches and panic attacks could be due to withdrawal of estrogen causing vasomotor symptoms. For the vaginal dryness, you should use local estrogen cream. For the other symptoms of increased prolactin, which is causing the secretion from breasts and headaches, you need to take bromocriptin or cabergoline. Please consult an endocrinologist for the prolactin control. Hope this helps. Regards