Unexplained urinary pain dryness n sensations - #10747

Helo Esha, It sounds like your issue stays in Fungal Vaginitis only. To be more clear A splashing or sharp pain in the vagina could be a symptom of various infection , including fungal, bacterial vaginosis, or sexually transmitted infections (STD). As you mentioned fungal vaginitis it’s self explanatory. And it’s from 2020 means have taken treatment properly? If the vaginitis still persisting mean the treatment was not completed properly.

First of all we have to clarify that it’s fungal (curry white discharge present?)or bacterial or STD ( if it’s STD the partner also should get treatment)

You may go for culture from vaginal discharge and should explain the characteristics of discharge to your physician.

After ruling out these all infectious causes could go for further checkups to find out any other anomalies

Please share the details and further queries.

Hello esha See a Gynecologist Specializing in Vulval Pain or Urogynecology as you have severe unexplained pain Ask about vulvodynia, pelvic floor dysfunction, and pudendal neuralgia.

A gynecologic exam with a Q-tip test can help identify nerve hypersensitivity.

Exercises to relax the pelvic floor, breathing techniques, and posture correction help many patients.

Medicine for pain and dryness Tab pregabalin (for chronic nerve pain)

Vaginal estrogen cream for dryness

Diet and Bladder Health Avoid bladder irritants: caffeine, spicy food, citrus, carbonated drinks. Include probiotics (curd, kefir) and hydration. Track pain triggers using a pain diary

for depression i would suggest you to visit your psychiatrist for counselling

Take Mind-body relaxation therapies like vaginal steaming (herbal Sitz bath) or warm Epsom salt soaks can help reduce spasms.

Considering the situation you’re describing — sudden onset of extreme urinary pain without UTI or detectable pus cells, along with diagnosed fungal vaginitis — a couple of possibilities could be contributing to this issue. Based on your reports, which show no UTI, the pain and other sensations might be arising from issues not directly tied to common infections. Vulvodynia or chronic pelvic pain syndrome could be potential causes, characterized by pain or discomfort in the pelvic area without an obvious infection. These conditions can be frustratingly difficult to diagnose as they often do not show up in standard tests.

Fungal vaginitis might play a role in contributing to discomfort or irritation, though typically it doesn’t cause the kind of severe pain you’re describing. Addressing this with appropriate antifungal treatment should help alleviate fungal-related symptoms, but additional causes need exploration. If antifungal treatments haven’t brought relief yet, it’s important to follow up with your healthcare provider. Treatments could include oral antifungal medication or topical treatments, sometimes needing a prolonged course.

Stress and hormonal changes can exacerbate symptoms. Chronic stress or anxiety can sometimes manifest physically, possibly worsening perceptions of pain. Addressing the mental health component, perhaps through cognitive behavioral therapy, relaxation techniques or counseling, could be beneficial. It might help to consult a specialist who focuses on pelvic pain or a urogynecologist, especially if symptoms persist after treating for fungal vaginitis. Complex cases often require a multifaceted approach, sometimes necessitating collaboration between specialists like a dermatologist, gynecologist, or even a pain specialist.

Additionally, ruling out interstitial cystitis or bladder pain syndrome might be necessary, conditions characterized by chronic pelvic pain and discomfort. A comprehensive evaluation often involves cystoscopy or other bladder function tests if typical diagnostic pathways fail. If you’re experiencing significant trauma and depression, timely psychiatric support is crucial too.

For immediate self-care, you might consider using a soothing sitz bath, which is a warm water bath for the perineal area, to provide some temporary relief. Maintaining good hydration, wearing loose-fitting clothing, and avoiding irritants like douches or scented hygiene products can also prevent aggravation. However, if symptoms continue, it would be prudent to schedule a medical review as ongoing, unexplained pain deserves thorough investigation and management.