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Suffering from pain during intercourse. Cure?

Mar 2016
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Answered by

Practicing since : 2011
Answered : 4047 Questions
hi, i am a 26 year old female and every since giving birth exactly a year ago, i have been experiencing pain everytime me and my partner have sex. he has no symptoms, i have been to the doctors 6 times as i get thrush almost once a month now, and everytime we have sex, the thrush comes back within a day or 2. it clears up with fluconazole, but comes back and the pain during intercourse never stops at all. also when i get sore down below, i get a rash on my inner elbow at the same time my vaginal soreness can be XXXXXXX and external around the clitoris, and is made worse when i shave, if i use perfumed soaps or when we have sex or around the time of my period and i dont know if this is related. please help as no one knows what this is and my gp wont refer me to a gynaecologist

sorry i forgot to add, i am on aciclovir from my gp 2 tablets a day and alson 150mg fluconazole once a week and this isnt helping
Posted Mon, 17 Jun 2013 in Women's Health
Answered by Dr. S Patra 2 hours later

Thanks for writing to us.

According to your clinical feature, you are mostly suffering from chronic vaginal or pelvic infection. It may be due to yeast infection (if itching persists) or any kind of STD or co-existence of both. It may cause painful sexual intercourse or dyspareunia. Other causes are endometriosis, pelvic inflammatory disease (PID), vaginal dryness, rough sex etc.

You need to get examined by your gynecologist. Pelvic examination and other relevant investigations are required to pinpoint the diagnosis like one vaginal swab test & culture of the discharge in specific media, complete panel of STD, pelvic ultrasound scan, antibody to HSV 1 & 2 for genital herpes etc. Smear of vaginal discharge for microscopic examination is also important to rule out specific causative agent.

Complete treatment depends on underlying etiology. In case of vaginal yeast infection, you can take oral anti fungal medication (like clotrimazole/ miconazole) along with vaginal suppository at bed time for one week. Anti viral drug therapy is required for genital herpes. Supportive medications are required according to test reports. In case of STD, your partner also needs full course of treatment.

In addition, you have to eliminate certain predisposing factors like:

1) Diabetes by doing one blood sugar (PPBS) test.
2) Using any contraceptive pill/ Cu-T (IUD), douching or inserting any foreign object.
3) Concurrent practice of vaginal and anal intercourse in alternate way during same session.
4) Other factors- irregular diet habit, psychological factor, hormonal imbalance, poor maintenance of genital hygiene during period, cervicitis/ atrophic vaginitis etc.

It may be aggravated by using chemical substance like lubricant/ jelly with condom or soap/ detergent/ other bath products, perfumes around genital area etc causing repeated friction & irritation inside vagina.

Following life style changes are helpful to prevent future recurrence:

1) Take healthy diet with anti oxidant (like Vit-E/ C, selenium, zinc, lycopene etc) supplements. Drink plenty of water/ juice for better systemic circulation.
2) Do not touch/ wipe out genital area too much. Also avoid inserting objects or douching inside vagina.
3) Maintain genital hygiene with proper shaving & cleaning. Do regular physical exercise by means of jogging/ walking/ treadmill etc.
4) Wear only clean & cotton underwear. Don't wear any tight fitting cloths or pants to avoid repeated friction/ irritation.
5) Avoid using any type of chemical cosmetics or soap or condoms. Try to avoid any type of sexual activity for at least 4 weeks.
6) Use only water based lubricant or vagisil intimate cream before sex. Maintain genital hygiene before & after each coitus.
7) Avoid stress/ tension/ mental upset by regular deep breathing (20-30 times)/ yoga. Take a sound sleep for complete relaxation.

Hope, above said information is sufficient & very much helpful to you. If you have any further questions I will be happy to help.

For any future query, you can directly ask me by viewing this page WWW.WWWW.WW
Wish your good health & take care yourself.

Dr Soumen
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