My vulva has been very sore the last several days. Over the years I’ve made several attempts to try and figure out what is wrong and fix it.
As you may know, I was raped repeatedly as a small child, and my vagina/vulva was injured. From the scars and my memories of the pain, I’d say it tore from vaginal vestibule (the opening) in two places right over to my clitoris. Just thinking about that makes me want to cross my legs.
When I was a young adult (18) I began having intercourse with my then boyfriend, who was about my age. I had what I thought at the time were horrible bladder infections and yeast infections, so bad that I’d have to sit in the bath in order to control the pain when I peed. The wrinkles in condoms would cause enough friction that I’d be very sore. During this time the doctor also found a sore he thought was herpes. He tested it and it was negative. I still don’t know what it was. I’ve had other sores since, but rarely. Gods only know what I would have been exposed to from my father, but I’ve gotten a full STD test panel and was negative for everything, which is a blessing.
I didn’t have the knowledge or assertiveness then that I have now. I went to the doctor a few times, but really they weren’t able to to resolve things so that they didn’t hurt. I researched all the usual helpful things:
- I never did use scented stuff near the peach (scented pantiliners, soaps, lotions, douches etc… which are supposed to cause reactions.
- I had a doctor tell me to douche with plain vinegar and water to kill the bad bacteria and then insert a slurry of yogurt and water to restore the good bacteria. Later the same doctor told me to put boric acid in gelatin capsules and insert one when I had symptoms.
- I bought soft cloth menstrual pads instead of the rough paper ones.
- I wore/wear only cotton underwear
- I had another doctor tell me to use a blow dryer set on cool to dry my vulva after a shower or bath.
All of these things undoubtedly helped a bit, but don’t go all the way and it keeps coming back.
A few years later, having regular painful sex with another boyfriend, I went for several visits to my family doctor to see if I could clear it up once and for all. I told her I thought I had a persistent low grade yeast infection and vowed to keep going back again and again until it cleared up. She prescribed the anti-yeast vaginal suppositories, and I did that. A couple of weeks later, still sore. I went back. Puzzled, she tested me for diabetes and AIDS, which apparently both can cause recurrent yeast infections. Negative. I told her I was a survivor. She was very uncomfortable. I didn’t go back. She went on mat leave and I didn’t see her again.
A couple of years ago I went to a nurse practitioner (kind of like a super-powered nurse who does some of the things a doctor does) and told her about my little problem. I went in when the pain was pretty bad and she could see and feel the red, inflamed tissue. She told me she thought I had vascular damage from the rapes and pointed out my scars. She suggested putting cold packs on my vulva and tested me for infections (all negative). Then, after some promising and useful work, she gave up and suggested it might be psychosomatic. I don’t think it could be this persistent and steady if it is psychosomatic, and I’m generally not in a lot of denial about my abuse issues, so if it was really a body memory, you’d think I’d have processed it by now, I tend to not shy away from dealing with this kind of thing. I think that an injury for which I didn’t get medical attention plus vascular damage might be a more credible cause, frankly, so I’d like to find someone knowledgeable to look at that.
I did some research and found out about vulvadynia, which I’ve written about on this blog before. The main self-care strategy for this is mostly to rinse your vulva with water after peeing to prevent the urine from irritating the sensitive tissue. This has taken my pain down a few notches, particularly in the morning, but not completely.I also read that perhaps clenching the muscles in the area can cause reduced blood flow which causes pain. I’ve been paying attention to not doing this, so it’s not related to the current pain I’ve got.
I know when you hear hoofbeats, think horse not zebra, but given that I have a zebra kind of injury here, and the usual causes have already been ruled out, it’s time for a little digging.
I’m girding my loins (so to speak) to make another pass at trying to figure out what is going on here. I’m assuming I need some kind of specialist – but who? ob/gyn? midwife? . I googled “long term effects of vaginal injury” and got nothing. There’s a bit on STV’s in children but mostly for doctors on how to test for them following child sexual assault.