Why could a woman have a burning and tingling sensation in her vagina despite testing negative for STDs?

Question

Hello doctor,

My vagina had been tingling and burning for the past few weeks. It had always hurt to have sex, even if we used lube. The pain comes and goes and even radiates to my anal region. I have gotten checked for STDs, and they came out negative. What could it be?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

Pain during sex could be due to endometriosis. So, I suggest you get a vaginal swab to exclude any chronic sexually transmitted diseases (STDs) and a transvaginal scan for any local pelvic pathology. I suggest you get locally examined by a specialist doctor for any local pathology like polyps, cervical lesions, local infectious lesions, etc. I suggest you the instructions mentioned below.

1. Sit in mildly warm water to reduce pain.

2. Wear soft, comfortable cotton undergarments.

3. Use condoms to avoid sexually transmitted diseases.

4. Use lubricants for sex and take a tablet of Mefenamic acid (a non-steroidal anti-inflammatory drug) 500 milligrams 30 minutes before having sex.

5. Take combined oral contraceptive pills for three months to regulate cycles and minimize symptoms due to endometriosis.

6. After collecting the vaginal swab, take a tablet of Doxycycline (Tetracycline antibiotic) 100 milligrams 12 hourly and a tablet of Metronidazole (antibiotic) 400 milligrams eight hourly for seven days to eliminate any infection inside the body or locally in the perineal region.

7. Avoid constipation by consuming a soft, healthy diet with plenty of water.

Kindly consult a specialist doctor, talk with them, and take medicines with their consent.

I hope this has helped you.

Thanks and regards.