Re: GYNECOLOGIC: Pain After Intercourse
From: Meg (anonymous@obgyn.net)
Tue, 10 Apr 2007 15:29:18 -0500 (CDT)
Thank you for your response, Dr. Chudacoff.
I have had doctors prescribe Estrogen cream, but when I've tried it, the
whole area has become inflamed.
Are there different formulations I could try, or should I try some other
kind of delivery system?
Also, should I ask to have my estrogen level checked? I haven't had my
hormone levels checked since before I conceived my first son (my boys
are 4 and 2). My doctor doesn't think this is called for since I'm
having fairly regular periods (actually the most regular since being
diagnosed with the PCOS).
Thank you for your time.
At Mon, 9 Apr 2007, Richard Chudacoff, MD wrote:
>
>You may want to try Estrogen cream. It sounds like the vaginal
>epithelium/lining is thin. This can cause a delayed pain, especially
>burning. If you increase the thickness of the tissue it becomes
>resistant to trauma and irritation.
>
>At Fri, 6 Apr 2007, Meg wrote:
>>
>>So glad to see the forums back!
>>Thanks in advance to anyone who has suggestions for me.
>>For the past 5 years I've had pain after intercourse-it starts about 36
>>hours After. I've been treated for everything under the sun, and I even
>>had a large dermoid removed that was discovered during an ultrasound. I
>>do have PCOS, and I also have a history of genital herpes. I'm
>>currently taking suppressive meds. for the herpes, and I've tried a
>>whole host of other remedies, most notably yeast treaments, which is
>>what my most recent doctor says the problem is (she has done a culture,
>>and we've also treated my husband). Other tests have come back normal,
>>although I've had several doctors suggest I use estrogen cream as I have
>>a significant problem with dryness. The problem is when I try the
>>creams, or even just an otc lubricant, the whole area immediately
>>becomes inflamed. I do believe that yeast is part of my problem, but I
>>feel like the root of the problem is the dryness-like somehow the
>>dryness leads to the infection? I honestly think that if I never had sex
>>again (which isn't a good option), I'd never have another infection. I
>>do have an appointment scheduled with a urologist to rule out cystitis
>>(I also have problems with frequent urges to urinate and urge
>>incontinence). I guess I'm just wondering what else I should be trying.
>>Sometimes I just think I'll give up and try to live with it, but I
>>really want to have a normal sex life. My husband is very loving and
>>supportive, and I hate that we can't enjoy a normal relationship. Sorry
>>this got so long-TIA for any suggestions.
>
>--
>Richard Chudacoff, MD, FACOG
>Las Vegas International Center for Advanced Gynecologic Care
>(Specializing in Minimally and Non-Invasive Surgery)
>3150 N Tenaya Way # 270
>Las Vegas, NV 89128
>
>Tel: (702) 360-9630
>Fax: (702) 228-2343
>email: anonymous@obgyn.net
>
>All responses are for education purposes only. They are not intended
>to diagnose, treat or change treatment for any disease, condition or
>medical malady. I also do not guarantee response to private emails.
>
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