I am a 34 yo female. Until about 3 weeks ago I had a Paraguard copper IUD that was placed in 3/07. A previous IUD placed in 12/06 had expelled in 3/07. The second IUD was going fairly well until in mid August I visited the gynecologist with a combination yeast, bv, uti. They were not all diagnosed at once, but over the course of a few weeks. I had engaged in protected sex a week prior to the incident with a clean partner, but I believe the oral sex got a little “messy” and perhaps set some of these things in motion. I also want to mention I am an avid mountain biker and bike 10-40 miles per day. I never had any issues like this before. I have been riding my bike since I was a kid, etc. I should also mention that all the doctors ask me about back pain – in 2003, I was in a horrible car wreck and fractured and messed up my back. So my back pain is 24/7. Also tested negative for diabetes.
So we cleaned up all my vaginal issues and removed my IUD. I had to push for this because I was having yeast/bv cycles and I was very uncomfortable. Finally the gynecologist told me that everything was fine. Based on negative urine cultures and vaginal cultures. All STD tests and a pap came back fine. I was tested for HSV1&2 twice and they were negative. My outstanding issue is some pain, burning, tingling, clitoral burning/pain/itching and UTI type symptoms. I went to see a Urologist and he did a the camera deal and looked at my bladder. He saw no visible signs of IC but wanted to try me on Urelle 4x a day and see where things lead. For about 3 weeks the Urelle has been a major help. Urinating is definitely more comfortable, and I have been minding a decent diet with no soda/coffee/alcohol, etc. However, to some extent I am still experiencing the above symptoms. As well as a stabbing pain right above my pelvic bone on my left hand side. I also sometimes feel that my vagina/labia/urethra are sore, itchy, dry, very bothered. I do a cortisone cream and it helps a tiny bit. I do notice that the area seems a little more red than usual but no sores, cuts, abrasions, etc. The only doctor who is still willing to see me is the urologist, he thinks he can fine tune things with or without Urelle, but my pain and symptoms he is not sure about. Also since January I have had a flare of internal and external hemorrhoids as well and will be going in January to have these addressed. I believe it is from all the biking, although the Urelle seems to have caused some constipation.
My questions are: who should I be seeing for these issues? Do you think they are at all related to IUD infections or inflammation? PID? I read about pelvic floor disorders and vulvodynia and clitodynia, etc….Should I see someone to rule this out? What about skin scrapings of the labia, etc. or colonoscopy? Etc? What is the best course of action to take to get the best plan of action to correct the symptoms or just a final answer that could be live with the symptoms? I believe STDs have been ruled out, but still feel there is some infection/inflammation/bacteria that is causing me issues and worry I could pass it to someone else. I have great health insurance so getting tested is not an issue. Just need some direction of what type of doctor to see and what tests or suggestions to run with. Thanks.