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What are the symptoms of vulvodynia?

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Posted on Mon, 21 Jul 2014
Question: Below was my previous question that I still don't really have a answer that I am comfortable... Then past that I have a new symptom.... I will list my newest noticed symptom at the bottom.

What is wrong with me? i am relating this to laser hair removal and a chemical burn. Ill start from the beginning. In November and again in December I had a laser hair removal sessions, i had irritated red hair follicles on the the sides. Then in February I was cleaning my carpet, while rinsing out the canister and without even thinking about it I touched myself while adjusting my panties. 10 mins later I was having pain and few hrs later I was red and super swollen so I took a super hot bath to sooth but the outcome was not that, when I looked after my bath i saw Identical white spots on both sides of my inner labia. When I touched it i realized it was my skin and rolled it off, I scalded myself.

For 2 weeks I was very uncomfortable I felt minty sort of stinging burning but best described as if I had a breath mint there and I was hot . I used cortisone and antibiotic ointment. After 2 weeks it had became much better still very red and warm with very little discomfort and a slight minty burning sensation. Some days I am very red and the next day I can be pink. For the past 4 months when my period comes I am very irritated with sharp pains anywhere in my vulva I can't pin point where it is coming from. every month i have 2 weeks being worried then 2 weeks where I feel fine but when I look I see the redness has not gone. I have no pain during sex or urinating. This has been going on for 4 months coming and going also I believe my skin in my clitoral and urethane area is kinda yellowish. I have treated myself for a yeast infection no luck, I took a swab test and I have no bacteria. I have been married for 10 years and have no stds. This is mainly a strong to non existent minty feeling until my period comes, they stinging, burning sharp pains. I have no idea what this could be..

With the research I've done I think it maybe vulvodynia. Nerve damage from laser hair removal and then the chemical burn? Both hair removal and chemical burn can cause it from what I've read or I think maybe cytolyc vaginosis? I'm so lost! Over all I'm 36 , slender, healthy with no pass medical issues and not on any medications. I have no insurance right now and need to know what this is. I am hoping you can help me. I have several pictures.

My newest symptom my skin inside is a wierd white color and the outside a yellow pink... this it's not discharge nor yeast..... I am 10-14 days before my period and I have no discomfort as far is burning or stinging goes that will come with my cycle.. I just decided to look again thinking maybe it was gone! I am attaching pictures taken today. Please let me know if my skin at all looks abnormal... Also the pics I attached for my first question that I have received a response for last week do look slightly different. I am assuming you can bring up these pics? If not please tell me how to resend as they are more that the allowed 3 as I have the new pics to send...
I am scared maybe I have cancer?
doctor
Answered by Dr. S Patra (1 hour later)
Brief Answer:
DETAILS ARE GIVEN BELOW.

Detailed Answer:
Hello,

Thanks for writing to us.

1) According to clinical presentation, possibility of VULVODYNIA is quite HIGH. It is associated with chronic/ deep pain, burning sensation with or without itching. It affects vulva, vagina and often occurs without an identifiable cause or visible pathology. Hormonal treatment is best modality to combat this condition.

2) We need to rule out Leukoplakia of Vulva/ vagina in this context according to your recent clinical symptoms and attached picture. It is MOSTLY suggestive of chronic skin/ mucosal infection. Some is pre-cancerous and should be biopsied. You must undergo one HPV test and biopsy to clear doubt.

3) Next thing, you have to ELIMINATE or CORRECT some additional predisposing factors like diabetes, hypertension, mental stress, lack of sleep, poor eating habits, using more steroid, weak immune system, Cervicitis, dry vagina etc.

4> a)Use vaginal moisturizer cream like RepHresh pH gel or VAGISIL cream to avoid repeated irritation. Maintain vaginal pH and genital hygiene properly.

b) Wear only COTTON underwear. Don't wear any tight fitting cloths or pants to avoid repeated friction/ irritation. Take sound sleep adequately.

c) Take healthy diet with anti oxidant (like Vitamin -E or C, Selenium, Zinc etc) supplements. Drink plenty of water or juice for better systemic circulation. You must avoid salty, sugary or fatty foods. Low-oxalate diet is preferred.

d) Use ONLY water based lubricant during intercourse. Avoid chemical cosmetics or soaps/ perfume or scented bath products around genital area.

5) Specific treatment can be done with potent steroid and anti-fungal medicine, Tricyclic anti-depressant, anesthetic gel, vitamin B12 supplement, lukewarm or cold water soaked pad or SITZ bath etc. Kindly, consult with your gynecologist regarding this and procure complete prescription.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself.

Regards,
Dr Soumen

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. S Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4048 Questions

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What are the symptoms of vulvodynia?

Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. 1) According to clinical presentation, possibility of VULVODYNIA is quite HIGH. It is associated with chronic/ deep pain, burning sensation with or without itching. It affects vulva, vagina and often occurs without an identifiable cause or visible pathology. Hormonal treatment is best modality to combat this condition. 2) We need to rule out Leukoplakia of Vulva/ vagina in this context according to your recent clinical symptoms and attached picture. It is MOSTLY suggestive of chronic skin/ mucosal infection. Some is pre-cancerous and should be biopsied. You must undergo one HPV test and biopsy to clear doubt. 3) Next thing, you have to ELIMINATE or CORRECT some additional predisposing factors like diabetes, hypertension, mental stress, lack of sleep, poor eating habits, using more steroid, weak immune system, Cervicitis, dry vagina etc. 4> a)Use vaginal moisturizer cream like RepHresh pH gel or VAGISIL cream to avoid repeated irritation. Maintain vaginal pH and genital hygiene properly. b) Wear only COTTON underwear. Don't wear any tight fitting cloths or pants to avoid repeated friction/ irritation. Take sound sleep adequately. c) Take healthy diet with anti oxidant (like Vitamin -E or C, Selenium, Zinc etc) supplements. Drink plenty of water or juice for better systemic circulation. You must avoid salty, sugary or fatty foods. Low-oxalate diet is preferred. d) Use ONLY water based lubricant during intercourse. Avoid chemical cosmetics or soaps/ perfume or scented bath products around genital area. 5) Specific treatment can be done with potent steroid and anti-fungal medicine, Tricyclic anti-depressant, anesthetic gel, vitamin B12 supplement, lukewarm or cold water soaked pad or SITZ bath etc. Kindly, consult with your gynecologist regarding this and procure complete prescription. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326