Girlfriend's mysterious, not-going-away pain during sex
March 25, 2009 3:06 PM Subscribe
My girlfriend has had internal pain during sex since a couple weeks after we got together 5 months ago. She's been to two doctors, with multiple visits and we still don't have a solid diagnosis. History and details follow...
posted by The Dutchman to health & fitness (24 answers total)
At first, she thought it was just a yeast infection and went to see her doctor. They agreed and gave her Diflucan and a course of Monistat. That didn't seem to clear things up, so they had her repeat the same treatment which cleared up the yeast infection, but she was still having pain during intercourse and returned to her doctor. They did tests for chlamydia, gonorrhea and trichomoniasis, although they were pretty skeptical that she had any of them. As expected, none were found and they went on to treat her for bacterial vaginosis (and they said it would treat trich too, just in case) with metroconizole. This still did not alleviate the pain during intercourse.
Again, she returned to the doctor who at this point was pretty stumped and called in another doctor, who was also stumped. They gave her azithromycin for chlamydia (in case it had been a false negative, and because it was a wide-spectrum antibiotic that would possibly kill whatever it was that was bothering her). At that point, she was clear for yeast, but they had her take super-doses of acidophilus and inserting yogurt "just in case." At this point, we hadn't had sex in a month because I was traveling, so we know there was no cross-contamination. I got tested for chlamydia and gonorrhea and treated for trich, just in case. We also both got tested for HIV and we're negative.
Next, she decided to try another doctor and went to the gyn listed in New York Magazine's "Best Doctors" issue. At this point, my girlfriend also thought the yeast had come back a bit. The doctor agreed and took a yeast culture in addition to a urinary tract infection culture, pap smear and "generic" culture to see what was there. All results normal and did not show yeast. This doctor's diagnosis of the pain was that the nerves had been stimulated by an infection and even though the infection is now gone, the nerves don't realize it. She gave her a cream: Nystatin and Triamcinolone Acetonide, which is an anti-inflammatory and antifungal. That hasn't helped either.
My girlfriend and I had had (a lot) of pain-free sex for the first 2 weeks we were together, so we don't think it's an allergy to condoms, lube, etc or a just a factor of being with a new partner, and we're monogamous. The pain starts when I'm about halfway in. It seems to decrease once I'm fully inside, but doesn't go away.
She has another appointment with the New York Magazine doctor in a few days for additional cultures. In the meantime, it's been 5 months of this and we're both worried and frustrated and feel like the doctors are just throwing darts blindfolded at this point.
Does anyone have any thoughts to share? Anything you would suggest she gets tested/cultured for? Anything I should get tested for to help diagnose her? Thanks so much!