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What Causes Increase In Symptoms While Suffering From Vestibulodynia?

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Posted on Mon, 15 Sep 2014
Question: Doctor, I’ve been suffering from Vestibulodynia (burninig pain) for some time now and decided to try a natural cream which contains the following ingredients.

Olive Fruit Oil
Avocado Fruit Oil
Sea Buckthorn Fruit Oil
Beeswax
Organic Honey

After using this, my symptoms (burning pain) increased dramatically.

Could it be some kind of allergic reaction?
Do you think I worsened the Vestibulodynia?
What should I do, the pain is terrible!

Help!
doctor
Answered by Dr. Dr. Rakhi Tayal (2 hours later)
Brief Answer:
Wash it off thoroughly.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
An increase in the burning after using the cream can be due to an allergic reaction or due to a counter irritant property of the cream. The burning can be decreased by washing the area thoroughly to remove the cream with the help of a vaginal;m wash. Apply a moisturizing gel like aloe vera gel for soothing the area and repairing the damaged mucosa.
Applying an ice pack on the area will help in reducing the burning and will cause a numbing sensation. For a longer lasting effect you can use local lignocaine ointment.
The pain and burning are likely to decrease in next few hours. It has not caused any permanent damage to your vestibulodyia. Please do not worry.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (3 days later)
Doctor, thank you for your answer.

It has now been 4 days since the cream was applied and the burning pain is still there. I’ve also had XXXXXXX discharges for a few days, mostly white so I tried fluconazole. Ice numbs the area but afterwards the burning comes back. The area does not look red, do you still think it could be a reaction? How long should I wait and what would be the next step?

Regards
doctor
Answered by Dr. Dr. Rakhi Tayal (35 minutes later)
Brief Answer:
Can be due to inflammation.

Detailed Answer:
Hello.
Thanks for writing again.
The persistent burning pain even after 4 days is likely to be due to a local inflammation in the area caused by the cream. The worsening of vestibulodynia does not seem likely as it is more of a nerve related process.
To decrease the inflammation you can apply 1% hydrocortisone ointment available over the counter. It is best to wait for 2-3 days more and in case the burning persists then do consult your gynecologist for a direct examination to detect any visible local lesions.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (2 days later)
Doctor, could you please let me know how often to apply a 1% cortisone cream and when? Also, if I would to get a stronger cortisone cream, how often should I apply it and when?

Regards
doctor
Answered by Dr. Dr. Rakhi Tayal (2 hours later)
Brief Answer:
Pea size amount twice a day.

Detailed Answer:
Hello.
You can apply a pea size amount of ointment twice a day. In case you get a stronger preparation you can decrease the amount and dilute it equally with any emollient like aloe vera gel or a moisturizer and apply it twice a day.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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What Causes Increase In Symptoms While Suffering From Vestibulodynia?

Brief Answer: Wash it off thoroughly. Detailed Answer: Hello, Thanks for trusting us with your health concern. An increase in the burning after using the cream can be due to an allergic reaction or due to a counter irritant property of the cream. The burning can be decreased by washing the area thoroughly to remove the cream with the help of a vaginal;m wash. Apply a moisturizing gel like aloe vera gel for soothing the area and repairing the damaged mucosa. Applying an ice pack on the area will help in reducing the burning and will cause a numbing sensation. For a longer lasting effect you can use local lignocaine ointment. The pain and burning are likely to decrease in next few hours. It has not caused any permanent damage to your vestibulodyia. Please do not worry. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal