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What Do Burning Sensation And Pain After Intercourse Suggest?

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Posted on Wed, 29 Apr 2015
Question: Had sex for the first time in a year and had some burning, pain. Have not had any symptoms such as discharge ect. but feel little bumps all inside deep and can't see what they look like. Have had mild burning since. Am scared that it is herpes even though I've never had a breakout or been with someone in the past year and never given to anybody

Forgot to add that after sex the first time had bright red long lesion like on inside of labia minora and burned real bad when urinating for a couple days
doctor
Answered by Dr. Noble Zachariah (36 minutes later)
Brief Answer:
Likely to be urethritis or cystitis.

Detailed Answer:
Hello,
Welcome and thanks for your query.
Your symptoms are suggestive of urethritis which is an infection/ inflammation of the urethra or the bladder . If you had protected sex, there is no need to worry about herpes progenitalis.
This is similar to what happens in 'honey moon cystitis' . Because you had not been sexually active for about an year and are post menopausal, the vagina had undergone some changes and it is because of these that you had those post coital symptoms.
It would be good to get a urine microscopy and if there are pus cells to do a urine culture and sensitivity. You may require to take antibiotic depending on the culture result.
Flucanazole is only for fungal (yeast ) infection which is less likely to be the cause.
In the meantime drink plenty of fluids and urine alkalinizer may give symptomatic relief.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (8 minutes later)
But it was painful during right away? But will get UA tomorrow and see GYN next week but does make some sense as I have frequent urination and the urethral meat us was inflamed, swollen and red

Will it aggravate the urethritis if I use estrogen oil or rep lens for dryness?
doctor
Answered by Dr. Noble Zachariah (5 minutes later)
Brief Answer:
Due to decreased vaginal lubricant action

Detailed Answer:
It would have been painful right away because the vaginal secretion would be less and the introduction traumatic.
Don't worry you would be fine with treatment.
Wish you good health and a great day.
Dr Noble Zachariah
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (3 minutes later)
Can I use estrogen oil or replens for dryness while taking antibiotics or will it aggravate the urethritis?
doctor
Answered by Dr. Noble Zachariah (2 minutes later)
Brief Answer:
Yes

Detailed Answer:
Yes, you can use estrogen cream locally along with the antibiotic. No adverse interaction.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (10 minutes later)
Thank you, I am so relieved to know it's possibly not herpes, lol.....
I didn't mention that I have noticed, felt these small clusters of bumps before I had sex though? But have been having frequent urination. I hope you are right and will be ok after abx treatment.
doctor
Answered by Dr. Noble Zachariah (7 hours later)
Brief Answer:
You are welcome.

Detailed Answer:
Sorry for the delay in replying due to the time zone difference.
The bumps you are feeling and preceding the sexual encounter are likely to be Bartholin glands or tiny mucosal cysts.
You will get well soon with treatment.
I shall be happy to answer any further queries if you have any after you get the results.
Have a great day.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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What Do Burning Sensation And Pain After Intercourse Suggest?

Brief Answer: Likely to be urethritis or cystitis. Detailed Answer: Hello, Welcome and thanks for your query. Your symptoms are suggestive of urethritis which is an infection/ inflammation of the urethra or the bladder . If you had protected sex, there is no need to worry about herpes progenitalis. This is similar to what happens in 'honey moon cystitis' . Because you had not been sexually active for about an year and are post menopausal, the vagina had undergone some changes and it is because of these that you had those post coital symptoms. It would be good to get a urine microscopy and if there are pus cells to do a urine culture and sensitivity. You may require to take antibiotic depending on the culture result. Flucanazole is only for fungal (yeast ) infection which is less likely to be the cause. In the meantime drink plenty of fluids and urine alkalinizer may give symptomatic relief.