[32F] With vaginal pain and urinary symptoms
Patient Description
A 32-year-old female reports experiencing dull, uncomfortable vaginal pain rated 7/10, occurring randomly once or twice a month for 10-12 years. The pain subsides during urination and with manual pressure. Accompanying symptoms include frequent urination and difficulty initiating urination. No unusual vaginal discharge or blood in urine. Menstrual cycle is irregular with little pain during menstruation. Recently experienced pain during intercourse. History of UTIs at the start of pregnancies. Diagnosed with depression, anxiety, bipolar disorder, PTSD, and hepatitis C. Currently taking Vraylar 4mg daily. Allergic to Bactrim and erythromycin. No lower back pain or pelvic pressure reported.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Interstitial Cystitis (IC): This condition involves chronic bladder pain and discomfort, often accompanied by frequent urination. The relief you feel during urination might be related to this condition.
- Treatment typically includes lifestyle changes, physical therapy, and medications to manage symptoms.
-
Pelvic Floor Dysfunction: This occurs when the muscles in the pelvic floor are not functioning properly, which can cause pain and difficulty with urination.
- Treatment often involves physical therapy and exercises to strengthen the pelvic floor muscles.
-
Vaginal Atrophy or Dryness: This can cause discomfort and pain, especially during intercourse.
- Treatment may include topical estrogen or lubricants.
What you can do
- Consult a Healthcare Provider: It's important to discuss your symptoms with a doctor for a proper diagnosis and treatment plan.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
- Stay Hydrated: Drinking plenty of water can help with urinary symptoms.
- Pelvic Exercises: Consider gentle pelvic floor exercises, but consult a professional before starting.
What you should look out for
- Seek Medical Attention If:
- Your symptoms worsen or become more frequent.
- You experience new symptoms like blood in your urine or severe pain.
- You have any concerns about your reproductive health.
Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.
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3 mo ago