Re: GYNECOLOGIC: Pain After Intercourse
From: Richard Chudacoff, MD (anonymous@obgyn.net)
Tue, 10 Apr 2007 15:55:39 -0500 (CDT)
A formulation you might try is Vagifem (estrogen in a vaginal pill.
Secondly, there is a vaginal cream call AminoCerv that has a very good
ability to soothe and repair inflammed vaginal tissue. You are in a
tough situation and I feel for you. Has anyone biopsied the vaginal
lining to look for other causes of irritation?
At Tue, 10 Apr 2007, Meg wrote:
>
>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.
>>
--
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: richard.chudacoff@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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