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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for vaginal pain with soreness and burning radiating to rectum?

hi i am a 59 year old female, who has seen a gym physican assitant last friday for vaginal pain soreness itching burning and pain that radiates to the rectum on the slide it showed yeast she gave me a 150 mg diflucan to take last friday and started me on doxyclinine for 10 days for a sinus infection that would not go awayshe also checked my urine it was negative, i have not gotten better . all this seemed to start when i used my usual premarin vag cream prior to seeing her, i have also been thirsty somme what tired, earlier in may i was on z-pack for a upper resp infection. i have never had a yeast infection ever that was like this and yes it may have been yeast but i feel it is something more as my symtoms are not getting resolved, could it be an other type of infection. i have been married for 40 years we are both faithful. i was put on premarin vag cream last fall for severe vaginal atrophy . can you help me withadvise. thanks christine
Fri, 29 Mar 2019
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OB and GYN Specialist 's  Response

If the yeast medication didn't help, look up lichen sclerosis, sometimes that affects postmenopausal woman and can cause itching and pain. Usually, the skin looks like white parchment paper.

It is a good idea to go see a gynecologist to see if a biopsy may help with the diagnosis if it hasn't got better.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Dr Stephanie Fugate, OB and GYN Specialist
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