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Vaginal and anal tearing/fissures

For the last 6 months I have been getting tearing (look like paper cuts) in my vaginal area (1/4 to 1/2 inch long). I get the tears at least once or twice a week and they last from 2-4 days, go away for a few days and then come back. They continue to occur in the same locations;
1. Inside the vaginal lips on the sides almost always in the crease (between the labia minora and majora?)
2. Between the anus and vaginal opening (perineum)
3. Above the clitoris in the "hood" area.

This tearing is not related to intercourse since my husband and I are unable to do that due to the pain it causes me.  There is no real pain otherwise. I am getting some minor bleeding when I poop due to the tears in the anal area. The entire vaginal area is very itchy and if I scratch or rub the skin at all I often give myself one of these tears.  It seems as if the skin is very thin. There are no other symptoms that I am aware of.

I have had blood work and a biopsy done. Some of the things that I was tested for were; genital herpes, lichen sclerosus, lichen simplex chronicus, lichen planus, vulvar vestibulitis.  All results came back negative. The biopsy tested positive for "healing ulcers". My doctor does not seem to know what the problem is and is contacting a specialist in Lebanon, NH.

My Dr. prescribed an estrogen cream which did not seem to work. I have not been on any other medication for this. I am looking for some guidance as to what this condition may be and how to treat it. My husband & I want to get pregnant soon but I would like to resolve this issue first. Please help.
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Avatar universal
I've been having similar issues with a vaginal fissure on and off for about eight months now. It always opens in the same spot and It only seems to happen during intercourse. I had witch hazel recommended to me to help with pain but it did not work for me. When it first began I went to my gynecologist and she recommended using Vaseline or olive oil to help lubricate the area more during intercourse. This worked for a while however my problem started back up again within a month. I returned to my gyno today and she suggested cauterizing, however it's difficult to schedule an appointment because I never know when the fissure will tear again. Her only other suggestion (if the cauterizing doesn't work) is to have an episiotomy. I am hesitant to have this procedure done but am afraid there is no other choice.

My background:
I am 23.
married.
neither of us have STDs.
been on birth control "Caziant" for almost three years.
use Equate lubricant, Tampax or U by Kotex tampons & Trojan Condoms




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Avatar universal
Rectocele,may be an issue for this too. After reading other sites,bring me to this forum,same symptoms...however no tears. I to have the itching,burning when I pee,swelling and blood. All I had been using was ice between the cheeks...cold but felt good...I swear that it feels like there are tears galore in the "taint" area...so called.... but my husband assures me there is none. Tried lots...of creams,but nothing seems to work. Just wondering if this Rectocele thing may be attributing to it all. I just hope someone out there has the answer.
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Avatar universal
Fixed mine!  Found my symptoms matched "lichen sclerosus", and used hydrocortisone cream (over the counter) for 4 days and nights, generously.  Today, I'm back to normal.
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Avatar universal
I have had the same thing going on. I was told it is due to toilet paper and to use flush able baby wipes. It feels itchy, painful like paper cuts and dry! I also found bits of toilet paper has anybody else tried baby wipes or maybe it's because of my birth control (I have the implanon and don't get a period at all)... Could it be from no period? Or maybe it is an irritation from my tp and small cuts.... It's itchy and not and std or anything I'm not sexually active. I also noticed a brown pink discharge that was only one day. Sorta worried me but I'm almost certain I have vaginal fissures due to my tp irritating me
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Avatar universal
Please look up "Jock itch in women" - that is what I did and followed a weekly regimen of using 1. Lamisel 1x/day, 2. washing the lower extremities with selenium sulfide (dandruff shampoo) 2x/day and 3. Taking two doses of oral anti fungal Diflucan.  I did this for one week and it cleared up - now I just use the selenium sulfide wash when I shower to keep it at bay.  I also got all new underwear, change my underwear every day and no longer use panty liners.  I hope this helps someone!
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Avatar universal
Thank you all for sharing your experiences! Here is mine:

My background:
-25 years old
-have not taken any form of birth control for five years (I took Ortho Tri Cyclen Lo and then Hi for 2 years)
-became sexually active at age 18
-am sporadically sexually active with inconsistent partners
-use condoms
-don't use lubrication
-use Tampax tampons
-have history if yeast infections and often experience dryness

About five days after coming home from a 7-day trip to Bali in mid-August where I had sex with a new partner I noticed my vagina was abnormally dry, itchy, and a bit swollen. I attributed this to wearing tight pants and sitting for an extended period of time but was also very wary of possible STDs because when having sex with my partner in Bali one of our condoms had broken.

Two days later the swelling continued and I noticed a change in discharge. It seemed to increase in quantity and became more watery. Many of these symptoms are consistent with herpes symptoms so I convinced myself that this is what I had. When the painful fissures appeared I was pretty positive they were a herpes outbreak. They started along one side of my vagina and moved to my anus.

I went to a clinic in Perth, Australia six days after the fissures cleared (did not know they were fissures at the time) where I was examined and had a blood test for STDs. The doctor told me she didn't suspect herpes and did a pH test and attributed my symptoms to a bad yeast infection. All STD results came back negative. I was skeptical and was still convinced that I had herpes.

Saw my gynecologist 20 days after this and he told me he suspected herpes. He swabbed a bump that he said looked suspicious which came back negative for herpes (although he said that many tests come back with false negatives).

I told my partner from Bali that it was very likely that I had herpes and he was genuinely surprised because he has had no symptoms and has never been made aware that he has possibly been exposed (side note: I am well aware that most men are asymptomatic and many people are also in denial). I started seeing a therapist to help cope with my herpes diagnosis.

I scheduled another appointment with my gynecologist ten days after he diagnosed me with herpes to discuss questions I had about treatment, management, etc. That morning I happened to wake up with vaginal fissures (I thought it was a herpes outbreak). After examination my gynecologist retracted his initial diagnosis of herpes and told me they were fissures. He simply said that it is a skin condition with no known cause and that I just have sensitive skin. He told me to use Triple Paste cream which is also used for skin conditions like eczema. So far I have not used any treatment except for Aquaphor to sooth the pain and help with dryness.

My gynecologist had tested me for Hepatitis B, Hepatitis C, HIV, and syphilis from my blood. The swabs he took checked for ureaplasma and mycoplasma, gonorrhea, chlamydia, yeast, bacteria, and any possible vaginal infection and all came back negative. Even yeast! I am so confused.
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