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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful And Get Cramps While Inserting Tampons,period Is Spotting

Hey, im 19 years old and have been getting my period since the age of 13. I have never had any problems with it until recently. It is so painful to put a tampon in and when i do I can t insert it the whole way. I instantly get cramps . My period is only spotting and i have the symptoms like everyother month. I checked to make sure there wasn t one i forgot about but the muscles are so tight i could barely check.. Please help, Sincerely, Cierra
Tue, 15 May 2012
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General & Family Physician,  's  Response
Hi Cierra,
Thanks for writing in.
It seems that your perineal muscles have gone into a spasm which is preventing you from a putting a tampon in. This can occur due to an infection in the urinary bladder or a condition called vulvodynia.
However, a perineal muscle spasm and spotting can be suggestive of a pelvic inflammatory disease, particularly if you are sexually active.
Meanwhile, a topical anesthetic like lignocaine applied locally, can help reduce the spasm and relieve some of your symptoms.
I would suggest you see your treating physician as soon as possible.
Hope this helps.

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General & Family Physician,  Dr. Shanthi E's  Response

Hi Cierra,

Please get an evaluation done by a Gynecologist to look for any retained tampons. Getting an ultrasound of the pelvis done will also help.

Do not use tampons for some time now. Use disposable napkins.

Get well soon.

Regards,
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Painful And Get Cramps While Inserting Tampons,period Is Spotting

Hi Cierra, Thanks for writing in. It seems that your perineal muscles have gone into a spasm which is preventing you from a putting a tampon in. This can occur due to an infection in the urinary bladder or a condition called vulvodynia. However, a perineal muscle spasm and spotting can be suggestive of a pelvic inflammatory disease, particularly if you are sexually active. Meanwhile, a topical anesthetic like lignocaine applied locally, can help reduce the spasm and relieve some of your symptoms. I would suggest you see your treating physician as soon as possible. Hope this helps.