Hello so on like the weekend before September 8th I started getting worse symptoms of what seemed like a uti my mom took me to the local urgent care where they did the test it came back negative but I had enough symptoms treated me and prescribed a medication for a uti and one to relieve the pain while urinating and the one to relive the pain worked and they symptoms went away for awhile until I got them again we went to my primary care after a series of them sending me to the lab to do multiple urine tests like three I believe and all came back negative but they sent it to be cultured and nothing happend so at the doctors office they had me Give them a fourth urine sample and the doctor examined my vagina and decided that she didn't like how red and irritated it was so she pescribed miconazole 7 cream and instructed me not to insert it into me and to just spread it on the outside for a week well it's been 4 weeks of me doing that it went away after the first week then came back now I've used it for an additional 3 weeks and the symptoms have gotten worse my vulva feels extremely dry it burns I can walk it itches and if can't sit ice sems to help for awhile but I was instructed to use it no more than 10 minutes at a time and nothing seems to work I don't have a uti and I don't have a yeast infection why is it so irritated it's to the point of pain that I physically cry because it hurts so bad
Hello, guest.
Given your symptoms and the treatments you've tried, it's important to consider a few possibilities:
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Allergic or Irritant Contact Dermatitis: The prolonged use of miconazole cream, especially if it's not improving your symptoms, could potentially lead to irritation or even an allergic reaction, particularly if you are sensitive to any of the ingredients in the cream.
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Vulvodynia or Vulvar Vestibulitis Syndrome (VVS): These are conditions characterized by vulvar pain without an obvious cause like an infection. The pain can be burning, stinging, or itching in nature, and it can be constant or provoked, such as when walking or sitting.
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Lichen Sclerosus: A long-term problem of the skin that mostly affects the genital and anal areas. It usually causes itching and can lead to pain and scarring.
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Other Infections: There are other types of infections besides yeast infections that might not be detected on standard cultures, including bacterial vaginosis or sexually transmitted infections, which require different types of tests.
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Hormonal Factors: Hormonal changes can also cause vaginal dryness and irritation, particularly if there's an underlying condition like PCOS or if you're using hormonal contraception.
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Skin Conditions: Eczema or psoriasis can also affect the genital area and lead to intense itching and discomfort.
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Neurological Causes: Sometimes nerve irritation or neuropathy can manifest with symptoms similar to a UTI or yeast infection without there being an actual infection.
Do not continue to use treatments that are not working without consulting with your doctor. They may refer you to a specialist, such as a gynecologist or a dermatologist, who can offer more specific expertise in diagnosing and managing vulvar conditions.
In the meantime, here are a few general tips to avoid further irritation:
- Avoid any soaps, lotions, or products with fragrances or dyes in the genital area.
- Use only warm water for cleaning the outside of your vulva and do so gently.
- Avoid tight clothing and opt for breathable, cotton underwear.
- Do not apply over-the-counter creams or ointments other than what your doctor has prescribed without consulting them.
Hope this will be resolved soon. Keep us posted about your condition.