I have pain with intercourse and I'm not sure what is causing the problem. (photo)
Doctor Answers 7
A vaginal laser treatment will not help you.
A conservative approach for the band of skin at the vaginal/perineal opening which is causing your pain is local estrogen cream and vaginal dilators. If this option fails over 6-12 weeks a incision of the skin and suturing with fine absorbable suture will widen the opening. You will need to avoid intercourse for 1 month. Hopefully this helps.
You appear to have a band of tissue that is being trapped with penile penetration and being irritated. A procedure to "relax" the vaginal introitus by enlarging the opening should resolve the problem. The surgeon should make a mildine incision across the band from 12-6 oclock and the close the incision from 9-3 oclock. I would recommend that a monofilament suture be used to close the incision (4-0 Monocryl) to minimize inflammation during the healing process and minimize scar tissue formation.
You have a perineal web causing pain with sex. It needs to be resected.
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Appears to be a band of scar tissue
Pain with intercourse at the entrance of the vagina
Thank you for your post and photo. Not having all of your information and not being able to examine you limits my response. I don't know your Ob/gyn history, sexual history, age, etc.
I can tell you though, that the source of your pain is the perineal or vulvar stricture that your arrow is pointing to. I assume this is where old skin was removed and you are now left with scarring and a stricture at the perineum. It acts very much like a purse-string at the entrance. You will need to have this area revised if there is no improvement following 6 weeks of aggressive perineal stretching and estrogen cream application. IT will only get worse as you have less and less sex and with aging.
Stop the Mona Lisa treatments!
Nothing to do with a partial hymen.
Unrelated to chronic Lyme Disease.
I recommend you see an experienced vaginal surgeon familiar with performing perineoplasty procedures.
Best of luck,
You should seek out a specialist in your area that deals with vulvar vaginal disorders. There may be folks in Boston that do this or at Brown.
Hope this helps.
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