Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours,You seem to suffer from-UTI with burning causing tightness in the end.
You at 65 and your fiancee at 72, a sex after 2.5 yrs may expose you to
Vaginitis with
Urethritis due to low
estrogen dryness and low local immune defences.
Even after
povidone douching, you may need to do Urine Analysis and would need antibiotic treatment for UTI.
Possibility of STD needs to be ruled out in view of the un-protected Sex, with attending Gyenc doctor by LCR testing of Urine and blood samples for
Gonorrhea and for Chalmydia.
Remedy-
Consults with Gynec doctor and UA and STD check ups.
Treat with plenty of fluids and needful antibiotics(Like
Ciplox x 2 weeks) / Tab
Pyridium / Alkalizer solution- as per the reports of the tests.
If STD 2 weeks treatment with antibiotics(Doxycycline/ Azithromycine)would resolve the issue.
Hope this would help you to plan further of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS