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Avatar universal

Help Pleasee

Hi everyone

For a while I used to get pain during and after sex, white discharge and itchiness. The doctor gave me treatment for a yeast infection which worked. Now I still sometimes have pain during and after sex but on the outside of the vagina and not on the inside like last time. I think it may be where its stretched but I'm not sure :( I also get watery white discharge which the doctor said could be bladder weakness as its watery and only happens when I'm doing exercise or when I stand up from lying down. I just wanted to know whether anyone knows if it could be anything or if its just where its being stretched. Ive been tested for chlymdia which was negative and as me and my boyfriend are each others firsts and theres no family history of STD's the doctor said its impossible to have any so there would be no point in getting tested.

Thank you
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Thanks for keeping me posted!
Yes, as I mentioned earlier, pain during initial stages of penetration of penis can be due to tight vaginal walls or vaginismus. This can be primary and mainly due to anxiety. Yes, this can be made more lax by increasing the foreplay, having confidence in your partner and using vaginal dilators. The dilators can be used as home or at the gynecologist. If you want to use at home, you will have to learn the technique from the gynecologist. With gradual dilatation, the vagina becomes lax enough to accommodate the penis without pain. Generally both partners are counseled to gradually increase more intimate contact, ultimately resulting in intercourse.
Tight vaginal wall can also be secondary. Usually it is due to vaginal dryness. Other causes for secondary vaginismus are vaginitis or inflammation of vagina, sores at the mouth of vagina or vestibulitis, vulvodynia, or thrush or fungal infection. Treating the cause often takes care of the problem. You will need to consult a gynecologist to determine the cause. Hope this helps. Take care!
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Avatar universal
Thank you for the reply! Could the pain during sex be caused by tight vaginal walls? And if so is there anything you can do about it?
Helpful - 0
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Yes, clear watery discharge can be due to leaking urine especially since it comes while standing up or while exercising (called stress incontinence). Various causes of stress incontinence are weak pelvic floor muscles, child birth, trauma, large fibroid pressing on pelvic floor, neurogenic bladder, menopause etc. However low estrogen level without menopause too can cause stress incontinence.
Apart from Chlamydia, herpes and gonorrhea profuse watery discharge is also seen in hormonal imbalance. Hence get a complete hormonal panel (estrogen, progesterone, FSH, LH, prolactin, thyroid) done. It could also be due to infection in the uterus, cervivitis, vaginal infection. An ultrasound via vaginal route or a uteroscope inserted via vaginal route to look at the  condition of the cervix, uterus etc, a PAP smear, a vaginal swab test, a culture of the vaginal discharge, a complete STD panel are probably what are required. It could also be an allergic reaction to soaps, cosmetics, douches, razor etc that you use. Hence eliminate them one by one and see if it helps.
Usually pain during the initial stages of penetration during sex is due to UTI and vaginal infection or vaginitis, a tight vaginal wall, sores at the mouth of vagina or vestibulitis, vulvodynia or a dry vagina (frictional injury), thrush or fungal infection. Since you have  a past history of fungal infection this should be ruled out. Yeast infection or thrush is at times very difficult to treat. You may need to take oral antifungal pills twice a week for 3-4 weeks along with local application of antifungal cream. There are many types of antifungals available. Take an OTC antifungal with a combination of two or more anti fungals. Use both oral and local application. At times both partners need to be treated. Test for diabetes and other STDs as presence of either or both can make it difficult to treat the fungal infection. Discuss this with your gynecologist.
Hope this helps. Take care!
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Avatar universal
Thank you :) and im 19 :)
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1353650 tn?1429463374
Could you tell me your age? Your doctor should have tested the infection to find out what kind of infection it was. Like I said before I would have an internal ultrasound done to rule out any cysts and have your gynecologist run blood tests to check your hormone levels. I can tell you from experience that these few things your having a problem with can turn into something much larger. Over 10 years ago I was told I had ovarian cysts. I also had heart palpitations, fainting, severe PMS and migraines. I was told not to worry and most was caused by stress. I have since had my gall bladder removed with no explanation as to why it died, developed severe ovarian cysts, chronic yeast and vaginosis infections, chronic bladder infections, inflammation of the thyroid, elevated rheumatoid factor, fibromyalgia, reactive hypoglycemia and possible insulin resistance. Most of these things occurred within the past 5 years. I am very healthy, active, mildly overweight and eat very healthy. I developed the vaginal infections about 4 years ago and they became very bad the past year. No doctor could tell me what the heck was going on with my body. The reason I am telling you all of this is because I know what you have now seems so minor but, give it time that will change if not treated accordingly. My husband, my son and myself are currently being checked for lyme disease. We are all suffering from very similar conditions and no doctor can tell us why this is happening. Your body is trying to tell you something and you need to listen before it gets worse. Make sure your go to an endocrinologist and get thoroughly checked and have your hormones checked as well. I take bio identical progesterone to help with any vaginal dryness or painful intercourse. It has helped greatly with that and my PMS. I am also on a low glycemic high fiber diet. This has helped me from getting any further infections and getting rid of my ovarian cysts. I wish you the best.
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Avatar universal
Thank you for the reply :).
No the doctor only gave me treatment for a yeast infection when I mentioned that it could be one. I don't think I'm dryer than usual. It's confusing me cause in some positions it causes more pain and sometimes it does not hurt at all :(. Weight gain is a definate no as I'm underweight and can't put weight on even if I try! I am tired a lot and as for bad PMS I do tend to get moody a week before I'm due on haha :)

Helpful - 0
1353650 tn?1429463374
Is your vaginal area dryer than usual? Did the doctor tell you what kind of infection it was? Dryness can cause irritation while having intercourse and that can cause a yeast or vaginosis infection. The leaking could be that you have cysts on your ovaries and movement or exercise can causes leaking of clear fluid sometimes. I would recommend you have a vaginal internal ultrasound to make sure things are normal and see your gynecologist. If you have cysts they can cause an imbalance in your hormones and cause the vaginal dryness if you have it. Do you have any other symptoms like bad PMS, unusual fatigue or weight gain?
Helpful - 0
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