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Vaginal Itching
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LadyV57 posted:
I have read all of the postings on this matter. However, I have another question on the same topic.

Within a few days after having intercourse with my partner (no condom was used), I noticed itching and burning in my vaginal area. No discharge or smell. I have tried the OTC Monistat with no relief.

I am now concerned that I may have contracted something other than those mentioned in the other postings.

Does anyone have any recommendations/suggestions. My OBGyn doctor is out of town until next week.

Thank you!
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Jane Harrison Hohner, RN, RNP responded:
Dear LadyV: You may still have a yeast infection. About 20% of yeast infections are the less common subtype (eg candida glabrata, or candida tropicalis) rather than the common candida albicans variety. Most OTC and prescriptive yeast treatments are targeted for C. albicans. You may need a vaginal wet mount to look for evidence of yeast of any type.

If there is no yeast present there are other possible explanations. Other infections such as lactobacilli vaginitis (overgrowth of the beneficial hydrogen peroxide producing lactobacilli) can masquerade as yeast, but yeast medications will NOT provide any lasting relief. Certain dermatologic conditions of the vulva can have symptoms which mimic yeast (eg lichen sclerosus, lichen planus). If you are 57 years old, or were born in 1957, you may have atrophic vaginits. This is not an infection but reflects low estrogen levels creating more fragile vaginal tissues.

Bottom line, you definitely need to have your GYN examine a sample of your vaginal discharge. If this was a new partner to you then STD testing can be done as well. If this is your monogamous partner it may be one of the other vaginal conditions which can prompt itching and burning.

Yours,
Jane
 
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LadyV57 responded:
Thank you so much for your quick response to my question/concern. I will be seeing my GYN doctor this coming week.

Sincerely,
LadyV57
 
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LadyV57 replied to Jane Harrison Hohner, RN, RNP's response:
Hi Jane,

I'm back again. I went to see my GYN three days ago. In the interim of getting my urinalysis back she prescribed CIPRO 500mg 2x's/day for 3 days.

The lab results came back with no signs of a yeast infection or UTI.

My previous symptom of itching in my vaginal area is no longer there. However, I continue to have a slight discomfort (cramping/burning) after I urinate.

I am 54years old and currently on a bio-identical hormone replacement. I had a full hysterectomy 24 years ago. My sexual partner and I are in a monogamous relationship.

My GYN suggested that I wait for at least 5 days to allow the antibiotic to take it's full course.

What is your suggestion(s)? I'm very uncomfortable and my partner and I have stopped all sexual activity due to this.

Thanks,
Victoria
 
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bpcookie replied to LadyV57's response:
Hello LadyV, Is the irritation/burning sensation in your vulva area only? If it continues, you may want to ask your Gyno about Vavodynia. I was having YI symptoms but my test results kept coming back as normal. So my Gyno did a biopsy on a small area of my vulva and she told me that I had Lichen Simplex Chronicus Vulva, which is thickening of the skin. It causes a burning pain. The burning sensation was only in a small area at first and with in a years time it spread to my ENTIRE vulva area and down my butt cheeks.

So you may want to check into that. I wish you the best of luck and quick answers.


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