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To Dr. Shanahan(IGNORE PREVIOUS) Re: treatment for urethral inflammation?

From: Emme (anonymous@obgyn.net)
Tue, 21 Nov 2000 17:02:14 -0600 (CST)


Sorry- I didn't see your reply until today. I am 23, so I don't think I could be menopausal :)

I have been to the urologist (last Monday), and my gyn did cultures in August that showed no chlamydia or gonnorrhea. She treated me for gardnerella at the end of last month and when I just got my most recent cultures back they were normal, except for a moderate amount of strep b. She mentioned nothing about yeast, although I had a discharge that was starting to look yeasty and I still had burning after urination, so i took Diflucan. BTW, when I went to the urologist and he did a urine culture, it came back negative. He thinks it is urethral syndrome, but my urine volume and frequency are normal. HELP! I don't know what my other options are; I can't live life like this. I keep wondering if my urethra is inflammed and it is non- STD related urethritis. Outside of the cystoscopy he did July, my urologist has not examined me down there. Is that normal treatment? I am so frustrated... Thanks for reading.

At Sat, 11 Nov 2000, Kelly Shanahan, MD wrote: >
>At Fri, 10 Nov 2000, Emme wrote:
>>
>>Went to my ob/gyn yesterday because I still experience some
>>soreness/burning down there AFTER (not during) urination. I had had
>>this problem before and it went away for a while- but now it's back. She
>>re-cultured but said that everything looked pretty normal in there. I
>>was wondering if perhaps the urethral opening was irritated or
>>inflammed, and that this is causing the pain, because the pain exists
>>for the half-hour to hour after I urinate and then dissipates. It's
>>also worse at night time (like when I go to the bathroom around 7:30
>>and/or 11:30) and not quite as bad in the morning. I was wondering if
>>this was because the urethral area has 8-10 hours off while I'm
>>sleeping. Is there anything I could take to reduce inflammation/pain
>>until it heals on its own? I can't think of anything else that could be
>>causing this, and my dr. didn't bring up a biopsy.
>
>are you menopausal? If so, this may reflect estrogen deficiency. Have
>you been checked for vaginal infection, includign STDs and non-STDs like
>yeast? these can cause similar symptoms. If all evaluation is negative
>thru your gyn, you may need to see a urologist
>
>--
>M. Kelly Shanahan, MD, FACOG
>South Lake Tahoe, CA
>
>This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.
>
>***private e-mails will be deleted without reading. Please respect my family time
>






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