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What Causes Burning Sensation In Vulvar Area?

Posted on Sat, 8 Aug 2015

Question: "to be answered by dr XXXXXXX Abraham" hey how are you so my blood work came back fine and normal he put me on Diflucan i think thats how you spell it for 7 days and a refill for it doc told me to call him back if it dont work asked him what happens next if this dont work he said keep trying different things until something works he seems really confused about the whole burning from vulva area i told him you can even feel the heat on the outside of my jeans and on my thighs so what do you think more needs to be done

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
Have you discussed vulvodynia ?

Detailed Answer:
Hi.
Glad to hear from you.
Diflucan is treatment for fungal infection ( yeast infection ).
Did you see a SPecialist OB - GYN?
DId you discuss the possibility of vulvodynia with him ?
Vulvodynia is treated with counselling, local pain management and appropriate medication.
I think that is the real reason for your condition.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Aarti Abraham (6 minutes later)

yea ongyn

Answered by Dr. Aarti Abraham (11 minutes later)

Brief Answer:
As below.

Detailed Answer:
Then you need to actually tell him about the possibility of vulvodynia, and being investigated and treated for it.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Aarti Abraham (9 hours later)

ok I will when i go back do you think i need to have any more tests done

Answered by Dr. Aarti Abraham (2 hours later)

Brief Answer:
No more tests needed in my opinion.

Detailed Answer:
Not at all.
You have already got extensive testing done.
I strongly suspect vulvodynia is the diagnosis.
How is the folliculitis now ?

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Aarti Abraham (12 hours later)

its a lil better it comes and goes all of this stuff is just so ughh i even told my obgyn i just wanna feel normal again at this point I don't even think i kno what feeling normal is and im still having weirs periods im just tired of living my life feeling uncomfortable all the time this has taken over my life and has stopped me fron dating or seeing anyone its just awful

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
As below.

Detailed Answer:
Have you had a complete workup for irregular cycles.
It should include a pelvic ultrasound scan, hormonal levels ( FSH, LH, TSH, Prolactin ) and pap smear plus internal exam.
What all has been done from the above ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (4 minutes later)

i have had a pap smear that cane back normal the blood work was cmp test which was like 12 tests in that thyroid test and hemoglobin test all that cane back normal thats all i had

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
As below

Detailed Answer:
You should have a pelvic ultrasound scan and the hormonal tests too.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (3 minutes later)

ok ill bring it up when i go back i also get bumps on my butt and my thighs to like the bumps youve seen pictures of

Answered by Dr. Aarti Abraham (9 minutes later)

Brief Answer:
As below

Detailed Answer:
Those bumps were clearly folliculitis.
Seems you are susceptible to it in the other areas too.
Maybe consider laser there too ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (1 minute later)

yea a good possibility

Answered by Dr. Aarti Abraham (0 minute later)

Brief Answer:
As below

Detailed Answer:
WHen you have them next, you can send photos, I might confirm.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (1 minute later)

ok i sure will do that

Answered by Dr. Aarti Abraham (0 minute later)

Brief Answer:
As below

Detailed Answer:
Yes, do that.
Will wait for your scan and hormone tests.
Hold on, things will only get better from here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (0 minute later)