[20F] With burning sensation around vagina and rectum, irregular and painful periods

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Endometriosis

• Rationale: Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside of it. This can cause pain during intercourse, painful periods, and pain with urination. The burning sensation around your vagina and rectum, as well as the irregular periods, could also be related to endometriosis.
• Typical Treatments/Testing: Diagnosis often involves a pelvic exam, ultrasound, MRI, or laparoscopy. Treatment may include pain medications, hormone therapy, or surgery.

Irritable Bowel Syndrome (IBS) or Gastrointestinal Issues

• Rationale: Given your history of gallbladder removal and chronic stomach pain, your diarrhea and abdominal pain could be related to IBS or other gastrointestinal issues. The bright red blood in your stool could be due to hemorrhoids or anal fissures, especially if the blood is bright red.
• Typical Treatments/Testing: Diagnosis may involve stool tests, colonoscopy, or other imaging studies. Treatment often includes dietary changes, medications to manage symptoms, and sometimes probiotics.

Pelvic Inflammatory Disease (PID)

• Rationale: PID is an infection of the female reproductive organs and can cause pain during intercourse, irregular periods, and pain with urination. The burning sensation could also be a symptom.
• Typical Treatments/Testing: Diagnosis usually involves a pelvic exam, cervical cultures, and possibly an ultrasound. Treatment typically includes antibiotics.

What you can do

Burning Sensation and Pain During Intercourse

• See a Doctor: It's important to consult a healthcare provider to rule out infections or other serious conditions. They may recommend tests like a pelvic exam or ultrasound.
• At Home: Avoid irritants such as scented soaps or douches. Use water-based lubricants during intercourse to reduce friction and discomfort.

Irregular and Painful Periods

• See a Doctor: A healthcare provider can help determine if you have endometriosis or another condition affecting your menstrual cycle. They may suggest hormonal treatments or pain management strategies.
• At Home: Keep a menstrual diary to track your symptoms and cycles. Over-the-counter pain relievers like ibuprofen can help manage pain.

Diarrhea and Abdominal Pain

• See a Doctor: Given your history of gallbladder removal and chronic stomach pain, it's important to consult a healthcare provider to rule out any complications or new gastrointestinal issues.
• At Home: Maintain a balanced diet and stay hydrated. Avoid foods that trigger your symptoms, and consider keeping a food diary to identify any patterns.

Blood in Stool

• See a Doctor: Bright red blood in your stool should be evaluated by a healthcare provider to rule out conditions like hemorrhoids, anal fissures, or more serious gastrointestinal issues.
• At Home: Increase your fiber intake to help with bowel movements and reduce straining. Over-the-counter creams or ointments can help with hemorrhoid symptoms.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening pain
• Significant changes in bowel habits
• Unexplained weight loss
• Fever or signs of infection
• Heavy or unusual vaginal bleeding

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare provider for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.