Sore, burning, uncomfortable after sex - every time??? I've got this problem and no matter what my boyfriend and i do it does not go away. EVERY time after we have sex i am very sore, burning and very uncomfortable. It hurts even more when i go to the toilet, the pain and sore feeling will last for 30 minutes - a few hours after sex. We have tried everything, i have even been to a gynea and he said that i was healthy and my papsmear also came back with no problems.
He said that i had small cuts inside my vagina and that we should use K-Y Jel and condoms to see if my bf semen ph level is not too high, that might cause the burning. We use the K-Y and comdoms, when we do it is not so bad, but the pain and soreness and burning is still there. I am sore every single time.
Some people say that is normal for a woman to be sore after sex because of the friction and somtimes dryniss. I am dry sometimes they say it's caused from the Pill , but not always. Please, please give me some advice!
I don't know what to do anymore, it is really frustrating to be sore every single time after i have made love with my boyfriend and can't do it again the same night - like i use to.
We have been together for two years now and in the beginning i did not have this problem, it only started about 6 - 7 months ago! Not what you were looking for? Sexologist Vulvodynia literally means pain in the vulva. It is characterized by itching, burning, stinging and stabbing in the area around the opening of the vagina. Pain can vary from constant to intermittent, or only occur on attempted vaginal penetration with sexual intercourse.
Symptoms of vulvodynia may range from mildly irritating to completely disabling. While a distinct sore, or area of redness may be visible, often the vagina shows no abnormalities or infections when examined by a gynecologist. Unfortunately, many doctors are unaware that these conditions even exist, and may mistakenly suggest that the pain is a psychological condition. It is common for women to suffer for many years and see many doctors before being correctly diagnosed.
You should check with your physician for diagnosis and the best treatment options for you. Do not try to diagnose and treat vulvodynia yourself! This document is for informational purposes only. Vulvodynia, as with most chronic pain conditions, has a profound impact on quality of life.
It often affects one's ability to engage in sexual activity and can interfere with daily functioning. It can impair one's ability to work, engage in any physical activity, and participate in a social life. These limitations can negatively affect self-image and may sometimes lead to depression. The cause of vulvodynia is unknown. It may be the result of multiple factors such as An injury to, or irritation of, the nerves that innervate the vulva.
A localized hypersensitivity or allergy to Candida. Candida albicans is a yeast or fungus. Too much can cause common yeast infections. An inflammatory response to environmental irritants soaps, perfumes, synthetic clothing, etc. High levels of oxalate crystals in the urine. Oxalate is any salt or ester of oxalic acid, occurring in plants, esp.
Spasms of the muscles that support the pelvic organs. Evaluation A thorough evaluation of a woman with vulvodynia is important in order to identify underlying problems that contribute to the pain or may cause the pain. Testing may include some or all of the tests described below: Vaginal cultures Cervical cultures Pap smear Colposcopy with acetic acid and biopsy visual exam of the cervix to determine cause of abnormal pap smear Blood-testing for diabetes and insulin resistance Stool evaluation Immune evaluation for Candida or hormonal allergies Nerve blocks Treatment Options Currently, there is no cure for vulvodynia.
Patients are encouraged to review all of the treatment options and, in consultation with their health care team, determine the best approach for them. At present there are numerous treatments that offer partial or complete relief. The pain is not all in your head.
Your health care provider should reassure you that the pain is real and that there are treatment options. Patients who are active participants in treatment decisions invariably do better than patients who are passive.
Likewise, treatment decisions that are imposed on a patient reinforce her lack of control. See more info at the and of the page. High levels of oxalate in the urine seem to contribute to vulvar pain in some women. We don't understand why lowering the oxalate in urine helps some women and has no effect on others. Perhaps oxalate acts as a skin irritant. A low-oxalate diet is often prescribed for people who have increased levels of oxalic acid in their urine or who have a history of forming kidney stones.
Oxalates are found in many plant foods such as peanuts, spinach, beets, tea, wheat etc. Using biofeedback teaches a woman to relax the muscles that are tense or in spasm. It is possible that spasms in the pelvic floor muscles can cause compression of the nerves, resulting in pain. Correcting the muscle abnormalities by retraining the muscles leads to pain relief in many. Medications for nerve pain: Medications are initially started at a low dose and gradually increased until pain relief is attained or side effects such as drowsiness limit their use.
These medications can also be applied externally in an ointment prepared by a compounding pharmacy. Antiseizure medications including Neurontin, Tegretol and Dilantin are quite helpful for nerve-related pain.
Guanefesin is a mucolytic an agent that breaks down mucus drug with few side effects and notable success in relieving pain for some women.
Antidepressants block nerve conduction of most of the pain impulses. The doses for pain relief are much lower than the doses for treatment of depression, so side effects are not often a problem. Depression does not cause pain, but chronic pain and the difficulty in finding appropriate support can result in depression.
Antidepressants such as Prozac, Paxil, Zoloft, Wellbutrin, Serzone, and others may be helpful in lifting the depression. A variety of topically applied medications are available including estrogen, testosterone, steroids, anti-fungal creams, antiviral, antibacterial creams, and topical anesthetics. Most are available in special preparations for those who are sensitive to most creams.
In addition, a number of over-the-counter preparations may be helpful including vegetable oil, cocoa butter, and grapeseed oil. Non-sedating antihistamines such as Claritin, Zyrtec, and Allegra may be helpful in relieving some of the local allergic symptoms of vulvodynia.
Some women notice that their symptoms worsen after eating certain foods. An elimination diet may help identify food sensitivities in some women, while others require specific skin testing to identify the culprits. Candida albicans is a yeast or fungus that is a normal part of the skin, bowel and vagina.
However, women who develop frequent or resistant vaginal yeast infections may be at risk for developing allergies to Candida.
This means that even if the yeast infection is successfully treated, the normal amount of Candida present on the skin or in the vagina may set off an allergic reaction. Treatment consists of long-term, anti-fungal medications and oral desensitization to Candida. Muscles that have become shortened as a result of prolonged spasm can be progressively stretched by the physical therapist.
In addition, scar tissue can be stretched and softened, allowing tissues to move normally. Associated treatments include EMG and biofeedback. Some women have achieved long-term resolution of their symptoms after several months of daily treatment with Diflucan, Sporonox or Nizoral. The assumption is that a long-standing, deep yeast infection may cause pain symptoms and that alleviation of the infection will provide a cure or at least partial relief.
In addition, for those with allergies to Candida, the complete elimination of Candida from the vulvar area may allow the immune system time to become less reactive to Candida. Nerve blocks generally consist of injections of local anesthetics and steroids around the nerve.
These injections serve two purposes: Generally 2 to 4 injections into the nerve are required to cure pudenal neuralgia irritation of the major nerve that goes to the vulva. Women who do not get long-term relief from these injections, may require release of the pudenal nerve from surrounding scar tissue with physical therapy.
Surgery is the last option to be considered and only after the patient has tried other types of treatment for 3 to 4 months and has failed to obtain relief. Bathe with Basis, Aveeno, Neutrogena, or Dove unscented soap. Use fingers only - no washcloth. Rinse thoroughly with water, pat dry do not rub, then blow-dry vulvaliner. White or unbleached is preferable. Do not use fabric softeners in the water or anti-cling agents in the dryer. Avoid tight and synthetic clothing.
Apply a thin layer of Lipocream available over-the-counter to the sore areas of the vulva. If itching is a problem, ask your healthcare provider to prescribe sodium cromolyn mixed in with Lipocream. Wear all cotton underwear, not just underwear with a cotton insert or Use white, unscented toilet paper.
Do not use personal wipes, baby wipes, etc. The vulvar skin may be dry. The skin can be best hydrated by soaking in water tub or sitz bath for minutes two to three times a day. Pat off excess water and apply an emollient such as petroleum jelly, Lipocream, or Eucerin available over-the-counter. Creams and lotions are too drying and may be irritating.