Hello.
Thanks for writing to DoctorSpring.com with your health concern.
-What is her age ?
-Does she have any altered discharge / foul smell, redness, itching , pain during sex or otherwise ?
Please do write back with these details and I would be able to help you.
Regards.
Patient replied :
"-Does she have any altered discharge / foul smell, redness, itching , pain during sex or otherwise ?"
Her lower labia and inside skin hurts to the touch. It does not ahve discharge, etc, but she has extreme sensitivity/pain to the touch.
May I know her age please ?
Patient replied :
She is 45 - she has a UTI currently and is taking an antibiotic - She has her second IUD.... the first expired about 2 years ago and she got a new one.
Hello. Thank you for posting the follow up query.
Since how long is she having this extreme sensitivity ?
Does it hurt during intercourse.
I would say, at 45, due to hormonal changes ( peri - menopause basically ), she might be having local hormonal deficiency .
THis leads to extremely friable vaginal tissue, leading to easy infections, spotting and sensitivity.
She should have a per vaginum and per speculum exam which will show this condition - atrophic vaginitis is what it is called.
Local estrogen creams and lubricants during sex help.
Get her blood sugars tested.
A vaginal swab should be taken to rule out any specific infections.
Also , a pelvic ultrasound scan should be done.
In addition, hormonal tests - FSH, LH, TSH, Serum estradiol - which will confirm peri menopause.
Feel free to discuss further,
Regards
Patient replied :
She is 45 - she has a UTI currently and is taking an antibiotic - She has her second IUD.... the first expired about 2 years ago and she got a new one.
Hello.
You seem to have repeated the same question twice. Please look at the follow up reply above, and send me the new follow up question. You can edit in the question section in your dashboard and i will get back to you.
Regards