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I am 25 years old relatively healthy female. I have pain that feels like a cut on the lower right side about an inch inside on the vaginal wall but seems to radiate. it is a dull pain for a most of the month until about a week before my period when the pain becomes much more severe (like a stabbing feeling) and is accompanied by an abnormal amount of discharge, a tightening feeling inside the vagina, lower abdominal pain and sometimes pain during orgasm.

I have had the pain for about two years now. It started kind of over night and I thought maybe I cut myself or irritated myself with a tampon so I went to the obgyn and she told me I had a fizzure and prescribed me antibiotic ointment which i never used. I was tested for HSV, BV, HPV, and chlamidia and all stds. I tested negative for everything except HSV-1 but there was no apparent ‘sore’ and several swabs of the area have tested negative. She told me 80% of people will test positive for the hsv-1 antibodies in their system so she ruled this out.

I just kind of learned to live with it because I was not sexually active until a year ago when I had sexual intercourse but had to stop because it was so painful. It felt like there were more cuts further inside on the vaginal walls. I went back to the gyno for a second round of tests again tested negative for everything, except hsv-1, but again no apparent sores and swabs of the area tested negative. I did test positive for e-coli which i think happened because I tried to wipe so carefully be cause of pain. I went through round of antibiotics and still no change.

Again I learned to live with it again until recently a new sexual partner came into my life. He attempted to go inside my vagina with his fingers and all I could feel was the pain on the lower right side it was rubbing against and stopped him. Again I went back to the gyno the same round of tests and no explanations. The doctor said that i was pointing to the bartholin gland but there was no cyst. he gave me another round of antibiotics but still no change. Again a person is gone from my life because I am too embarrassed to tell the real reason I am not having sex with them.

It is that time of the month where the pain is most severe and I am at my wits end. I am just looking for answers. I have spent hours and hours and hours looking on the internet and I was thinking that maybe if I just told my story someone could help me.

These are my questions

could it be hsv-1? Could I have a continual ‘outbreak’ for two years without a visible sore and negative swab tests?

How can I tell if it is candida?
How can I tell if it is vaginal ulcers? I do get canker sores in my mouth, maybe these are somehow related?
Could it be lichen disease? I am young and in good health and this usually happens to women after menopause.
Could i have an infection of the bartholin gland other than a cyst?


Any Help would be appreciated. Thank you for taking the time to read this.
Hi there, anything that you've asked about would have been picked up by a gynecologist during a routine exam so it's actually somewhat difficult to determine what you're dealing with. Are you able to go to a different gyno for an opinion? And whatever they prescribe, try to go through the full treatment instead of skipping it. Let me know what the other gyno says!
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