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Re: info about urethral syndrome? and vaginal pain

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 17 Aug 2000 15:12:58 -0500 (CDT)


Another urologist or urogynecolist may be of more help. there are more questions than answers about urethral syndrome, however.

HSM

At Wed, 16 Aug 2000, Emme wrote: >
>Do any of the doctors (or posters) have any advice about how to deal
>with urethral syndrome? I have to say that out of all the problems I
>have had to deal with this one must be the most annoying...especially
>since not that much is known about it. According to my urologist, a
>cystoscopy revealed no signs of IC, stones, anything like that, so he
>says I just have urethral syndrome and to take pyridium when I feel
>pain. That doesn't do much for my sex life though. I don't know if I
>feel pain because I get "dry" because I'm afraid and expect pain or
>what. But now I'm scared of having sex (especially since I'm going on
>vacation and don't want to get sick in a foreign country). The funny
>thing is once last month we had sex with condoms and a bit of lubricant
>three times in one weekend and I was not in significant pain. The last
>two times we have tried however (with no condoms- I am on the pill) I
>was in pain and felt ill aftwerwards, and the last time my yeast
>infection seemed to come back. Could the pH of the semen be affecting
>me? Or the friction? Could pain during intercourse earlier in July have
>been due to an undiagnosed yeast infection? My primary care doctor
>prescribed diflucan when I told him I had yeast infection symptoms, but
>my ob/gyn said that he was not a big fan of the drug b/c it only killed
>about 50% of yeast infections. He discovered a rather significant yeast
>infection at the end of July.
>
>Also, as I have mentioned earlier, I do not encounter any pain when
>urinating, but afterwards (ie. after I wipe and for maybe half an hour
>or so afterwards) there is a burning/stinging sensation in the vaginal
>area. To what might this be due? I recently started taking cran
>supplements again b/c UTIs usually appear in the first week after I
>start my new pack of pills, but I have stopped for now because I am
>afraid that it is affecting the acidity of my urine and irritating
>vaginal tissues. What are you thoughts? Sorry to be so long-winded but
>I am just looking for answers. None of my doctors seem to be able to
>give me any explanations for these problems. And I hate to keep going
>back to them.
>
>Thank you SO SO much for your time. I really appreciate the service you
>provide.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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