Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

198 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

I have been experiencing vaginal burning for past three months

Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 2973 Questions

default
Posted on Fri, 1 Feb 2019 in Women's Health
Question: I have been experiencing vaginal burning for past three months it varies in degree seems worse right before and during menstral cycle I have been to gyno four times already been diagnosed as having bacterial Vaginosis have been on both a gel and pill I am still having burning pains did not test positive for std should I be overly concerned about burning can the burning indicate a more serious problem like cancer I am also seeing physical therapist who has diagnosed pelvic floor dysfunction can Pfd cause a burning sensation
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 28 minutes later
Brief Answer:
Thoughts on this

Detailed Answer:
Hello and welcome,

I would not expect a pelvic floor dysfunction to cause vaginal burning.

Vaginal burning is common if there is an irritant to the vaginal tissues (such as yeast or other overgrowths) or from low estrogen.

The few days before the period, and during the period, estrogen is at it's lowest and might be responsible for this. However, due to the shift in hormones, the premenstrual period is also the time when there might be more overgrowth, so that might be contributing to it too.

We see vaginal burning from vaginal dryness during menopause (from low estrogen) but that does not apply to you per se. However, I am wondering if a vaginal lubricant might help before your period.

Your symptoms are not a typical sign of gynaecological cancers.

If you can schedule an appt. with your doctor for a day right before your period, she/he can take a look at what your vaginal mucosa looks like then (eg if it is dry), and also do a swab to see if there is anything else growing (eg yeast).

I hope this information helps.
Please let me know if I can provide further information.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Bonnie Berger-Durnbaugh 22 hours later
Thank you so much for your timely reply Is it possible that the bacterial Vaginosis I was found to have has not yet cleared even though medication has been finished if so is it typically difficult to clear and can it cause such burning due to pfd Inhave not been able to have a complete pelvic exam working on it through therapy bacterial Vaginosis found through urine
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 7 minutes later
Brief Answer:
Thoughts on this

Detailed Answer:
Are you unable to have a pelvic exam due to uterine prolapse from pelvic floor dysfunction? Because depending on how much prolapse there is, that can throw off the flora too, in cases where the uterus is severely prolapsed.

The bacteria that causes bacterial vaginosis, as well as yeast, are not really pathogens, they are opportunists that can overgrow and cause irritation and discharge if conditions are right for them to do so. So we don't always treat these unless they are causing problems.

Because they can be part of the natural microbiome, they can sometimes come back. In particular, antibiotics (such as for bacterial respiratory infections) can cause overgrowth of yeast because the "good bacteria" that normally compete with them can be decreased. Also, shifts in pH, hormones, can make things more favourable for Gardnerella bacteria (Bacterial vaginosis) to grow (and sometimes yeast too).

So, it's hard to say if they were wiped out - likely they were from the meds you used.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Bonnie Berger-Durnbaugh 19 hours later
I am unable to have a complete pelvic exam due to vaginismus. are there any natural treatments for BV my main symptom is burning- I originally thought I had a UTU but urine culture came back negative also I have a follow up appointment in three weeks is it safe to wait that long. Once again thanks for your assistance
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 3 hours later
Brief Answer:
Natural treatments

Detailed Answer:
The main problem from bacterial vaginosis (other than a fishy smelling odour or discharge and sometimes burning/itching) is if a person is pregnant as it can cause preterm labour. So, providing you are not too uncomfortable, it can wait. The other thing that can't wait is if you think you might have reason to have an STD.

In terms of natural treatments, there are things you can do. Something that can help with either Gardnerella bacteria (BV) or yeast is to lower the pH of the vagina with a mild acid. For this vinegar can be helpful. You can soak a wash cloth in half apple cider vinegar and half warm water and apply it a couple of times a day, or soak in a bath tub with a cup of apple cider vinegar in it. Some people use a stronger concentration (ie more vinegar to less water) but it's best to start with this concentration and see how you do.

There are things that can be used intravaginally, that can help treat both Gardnerella and yeast, such as boric acid capsules (suppositories), but it sounds like putting things in the vagina can be a problem for you. So for now, perhaps try the apple cider vinegar.

Wear cotton underwear and loose fitting clothing on your bottom to keep from making conditions optimal for BV or yeast. And there is some evidence that taking a probiotic daily or eating foods that are high in probiotics can help with BV.

Regards



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
premium_optimized

The User accepted the expert's answer

Share on