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Having stinging mild burning around lower part of vagina. Feels like cystitis. Extended and swollen in vagina. Breastfeeding. Need advise?

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I have a stinging mild burning but cold pain around the lower part of my vagina also feels like the urethra is affected as have urgency to pee occasionally -sometimes a lot (tested for bacteria and is negative) had cystoscopy urologist said slight stenosis of urethra (bladder ok, waiting for result of 3 biopsies) but symptoms worsened after removal of scope (took 3 days to calm down). Sometimes feels like cystitis. Have strange skin tags at the vaginal orrifice which are very sensitive when touched and some strange purple discoloration of the skin nearby which sometimes disappears. At the entrance to the vagina (the muscles at the sides of the entrance to the vagina) feel pushed out/extended/swollen? No itching at all just stinging and sometimes feels very cold. I cannot tell how full my bladder is when all these symptoms occur. These symptoms are very distressing and at their worst cannot be relieved by tramadol or codeine, estrogen cream helped initially but felt really sick when using it. One gynea suspected herpes and took swabs of what she thought were scars from herpes and am waiting results (i dont think it is herpes, and husband tested negative for it) I am 34, female had cesarean (my 2nd due to emergency the first time) almost 3 months ago and am breast feeding. These symptoms seem to come along when I eat high sugary foods and chocolate and tea but I'm not suspecting I.C as it is more my vagina or the muscles within my vagina that hurt. I feel that the urethral and bladder symptoms are secondary to whatever it is going on. I have had this 3 times in 3 years each lasting around 3 weeks and vary in intensity. UTI can trigger it especially once taking antibiotics but rarely have UTI. Please help...
Posted Thu, 12 Sep 2013 in Women's Health
Answered by Dr. Monika Choudhary 1 hour later
Brief Answer:
you can have genital herpes infection

Detailed Answer:
Thanks for posting your query
Your symptoms are indicating towards genital herpes
Before the herpes blisters appear, the person may feel the skin tingling, burning, itching, or have pain at the site where the blisters will appear
When the blisters break, they leave shallow ulcers that are very painful. These ulcers eventually crust over and slowly heal over.
So skin tag at vaginal orifice you are having can be due to healed ulcer.
It is very difficult to control pain with analgesics during herpes attack. Herpes outbreak can be due to yearly or monthly interval.
It can cause painful urination & can create situation resembling to UTI.
So you wait till your swab culture report comes taken to detect herpes.
Till then you should take precautions like-
•Do NOT wear nylon or other synthetic pantyhose, underwear, or pants. Instead, wear loose-fitting cotton garments
•Gentle cleansing with soap and water is recommended.
•Taking warm baths may relieve the pain
I will be available for your further queries.
Above answer was peer-reviewed by
Follow-up: Having stinging mild burning around lower part of vagina. Feels like cystitis. Extended and swollen in vagina. Breastfeeding. Need advise? 2 hours later
Thanks for your reply. I have taken on board what you have said about herpes however I have been feeling this pain for nearly 2 weeks now and there are no blisters(not that I can see). Also if it is herpes can they begin to heal and then flare up again within days? As this has happened, I thought the pain had gone then it was back with a vengeance the next day. Also if it is how deep does the pain or virus go? Could it affect my urethra/bladder as I described the pain is unbearable, I quickly become very depressed even suicidal when I get these pains. Is there anything else it could possibly be? The skin tags I mentioned are like small nodules of skin that I can pinch between two fingers, not really how I imagine a shallow blister would look like after healing. I hope you are right as I know herpes can be controlled to a degree, unlike I.C etc. many thanks.
Answered by Dr. Monika Choudhary 1 hour later
Brief Answer:
Pain due to herpes infection can be controlled

Detailed Answer:
Welcome back.
Pain during herpes infection is due to involvement of nervous system supplying vagina & bladder & neural pain is among the worse pains.
When there occurs recurrence of infection pain is mainly due to irritation of neurons & not due to occurrence of blisters.
Blister formation is more in primary infection.
In day time due to deviation towards other activity intensity of pain can be felt decreased.
Once you have got infection it is very difficult to eradicate it.
However some person do not develop symptoms, but someone can develop its recurrence also.
First you should get your investigation report & if it is confirmed for herpes, pain can be controlled with antiviral medications.
All The Best
Above answer was peer-reviewed by
Follow-up: Having stinging mild burning around lower part of vagina. Feels like cystitis. Extended and swollen in vagina. Breastfeeding. Need advise? 23 hours later
Hello, so are you saying that with each outbreak there may or may NOT be blisters present? So I could have pain but not necessarily the blisters?
I do not feel that you answered my question about the pain coming and going - with herpes attack, does the pain build up to a peak over time and then decrease gradually until it is gone OR can be painful then go away and then come back again an hour later? My feeling of pain is not simply distracted because I am doing other things, it is going away completely, then returning fully an hour or so later. Is this consistent with herpes attack or not? Please answer specifically to how I have asked the question.
With each attack are the nerves damaged further? Is this possible? If it is a second attack then this is much worse than before.
I do not believe it is herpes and am considering pudendal nerve damage as today the pain has moved into my buttocks and I have felt a few electric shocks in my pelvis, also my pain returns after I have been sitting down.
Is there a specific test I can have to determine any other virus or nerve damage? Would an MRI show up nerve damage and the root cause?
Many thanks.
Hi my test result for herpes has come back negative, please could you revise my symptoms and offer an educated explanation? Could it be pudendal nerve damage? Is this curable? Please reply ASAP, I have paid for this service.
Answered by Dr. Monika Choudhary 18 hours later
Brief Answer:
you can have have vulvodyania or pudendal damage

Detailed Answer:
Thanks for posting your query.
First of all I will congratulate you for your herpes test coming negative.
We can think about pudendal nerve damage if you are having any history of pelvic trauma or any other auto-immune disease.
Secondly pudendal pain keeps on worsening till evening & decreased in intensity in morning & there will be pain while passing motion.
You can go for MRI scan to rule out nerve damage.
If nerve is also intact then you can have vulvodyania.
Vulvodyania is disease of exclusion & patient presents same symptoms as presented during herpes infection & pudendal nerve damage.
So your herpes is ruled out, now you can go for MRI scan to rule out nerve damage.
If that comes normal then consult your physician for management of vulvodyania.
Once nerve part is involved it is very difficult to get 100% cure.
All The Best

Above answer was peer-reviewed by
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