Discussions By Condition: I cannot get a diagnosis.

19 year old, vaginal atrophy .. possible?

Posted In: I cannot get a diagnosis. 10 Replies
  • Posted By: Anonymous
  • March 10, 2007
  • 09:09 PM

I'm 19 years old and I've been on birth control pills for 6 years to stop the growth of monster ovarian cysts. I've had severe pain with intercourse, superficially, for my entire 3 year relationship; it's gone unconsummated.

My introitus is narrowed to well under the width of two fingers, and I'm regularly experiencing lacerations and cuts when intercourse is attempted, causing a great deal of pain and bleeding.

I've seen two doctors, one of whom said I'm just "too tiny for sex" and one who said it's all in my head and to relax. But my symptoms look awful similar to vaginal atrophy, and I'm wondering if somebody so young can experience it. Thanks!

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10 Replies:

  • Vaginal atrophy comes from a decline in estrogen. Usually it is only in post-menopausal women, occasionally with breast feeding women. If you have a decline in estrogen, that ought to be checkable through a blood test to see your levels.The two doctors you have checked with have been unfortunate. Honestly, I suggest you go for a third. And maybe it would be helpful if you try to find a gynecologist who is female and fairly young. I've never heard of "stress" causing a woman to bleed in intercourse. Clearly you are right that there is something wrong. You need to find a doctor who will help you figure out what.Some more questions: have you had a pap smear in the last year? If not, you need to at least get one of those. And has either doctor you saw done a pelvic exam? I mean, have they actually looked down there to see what is going on? If you are really having an atrophy problem, it should be noticeable with a real exam.Meanwhile, being on birth control pills since the age of 13 also seems like something important to talk to a gynecologist about. Has anyone done an ultrasound recently to see how your ovary is doing? Lots of stuff here. Do you live on your own, or with parents, or? 19 is pretty young to be dealing with all this stuff on your own.Shula
    Anonymous 42789 Replies Flag this Response
  • Please google the word vaginismus. This is a fairly common problem and can cause pain during intercourse. You can do regular relaxation exercises to "retrain" the vaginal muscles. I also agree with Shula that you should perhaps find a different gyno. If you had "monster cysts" they don't necessarily shrink from birth control use. If your gyno just says you are "too tiny" for sex is not informed about vaginismus and certainly isn't helping you. Best wishes DOM
    acuann 3080 Replies Flag this Response
  • Hi, Shula. Thank you for responding.I have an upcoming appointment with a nurse practitioner who I was told treats vulvodynia. Not necessarily because I believe I have it, but because somebody who believes in a physical cause is less likely to dismiss my symptoms like the others. Both of them have taken a look down there, and the speculum exams were painful. The gynecologist said I had an extremely narrow introitus with microtears along the posterior fourchette. She suggested no treatment other than "stretch your vagina to get it used to sex". The family doctor came next, who said the introitus looked fine, and to start telling myself sex wouldn't hurt and it would be so.The only condition ruled out thus far is vaginismus; despite the pain I'm able to stay perfectly relaxed and grit past objects being inserted.Neither has done any sort of exam other than visuals, no ultrasounds, blood tests, nothing. They just tell me to relax and use lubricant despite the fact I am to no avail.I live with my parents. I haven't spoken to them about what the problem is, but my mom takes me to my appointments without question. To me, it's just a strain on myself and my relationship too private to be shared.Thanks for your help thus far. :)
    Anonymous 42789 Replies Flag this Response
  • You can develop atrophy, but I'm not sure if that is the exact word. I looked at this thread because yesterday I talked to a massage therapist who had a client that was having the same occurence as you. This woman is 50 years old and her mother also had the same thing occur. I agree with finding a health pro that listens carefully and cares, and helps you explore what options may be available, too. On the cysts, I feel the imbalance can be in any part of the endocrine system and not just in the ovaries. The hypothalamus may be the real cause, as a British study from 2 years ago reveals that it is the major factor in many cases of PCOS. I do not feel that traditional docs and health pros would know how to go about returning the hypothalamus etc. to balance. A Doctor of Oriental Medicine or an alt health pro trained in the use of Standard Process or Systemic Formulas products may be able to head your body in that direction. I have used and do use the above with patients often with good results.
    Anonymous 42789 Replies Flag this Response
  • Well, the cysts weren't due to PCOS, to my knowledge. They were dermoid tumors/teratomas/germ cell tumors, whatever you want to call them. They're believed to develop either as a fetus, or as a result of an unfertilized ovum growing into a mass without fertilization. So, on this note, the gyn who did the surgery believed me ovulating was something to be prevented, so prescribed the BCP's.I've had alternative medicine suggested by several folks. But I don't know if my mom's insurance (Aetna) covers alternative providers, and I don't have much in the money department.
    Anonymous 42789 Replies Flag this Response
  • Please do not listen to anything Shula or Acuann tell you. My sister just passed away because Shula and Acuann told her that her doctor was wrong and she did not have a serious condition. Acuann even told her to get acupuncture to get healed. These people are going to be investigated for practicing medicine without a license. Shula and Acuann are specifically wanted in connection with my sisters homocide. Thats right homocide. If she would have listened to her doctor instead of these internet quacks she would still be here today. Rest assured I will do everything in my power to put these two behind bars and shut this website down for good.
    Anonymous 42789 Replies Flag this Response
  • To you ever use a tampon? If you have trouble using those, maybe you could talk to your mother about that aspect?But you really also need to get a pap smear if you haven't had one yet/lately. And maybe when you go to your next appointment, you can convince the nurse practitioner to do a blood test and check your hormone levels. Tell her you want to know if you have low estrogen.When is your appointment?Best,Shulaps. The post telling you to beware of me is someone who thinks this site is dangerous, and is lying to try to get the site shut down. If there were such a post on my part, or even such a person as this "sister" who "died" the anonymous poster would direct us to those posts.
    Anonymous 42789 Replies Flag this Response
  • I have severe pain with tampons as well; they feel like sandpaper. I've since switched to a menstrual cup since it's smoother, and while in and out is painful, it's a lot less irritating than the chemicals in commercial pads and tampons.My mom was curious about all my visits the the gyn, but when I told her it was about painful intercourse she shut down. Which is sort of good; talk about awkward!I think I'm about due for my yearly pap smear, so I'll get that taken care of. I'm going to talk to the NP about going off hormonal birth control and getting my hormone levels checked. And I'm not going to let her write off my concerns; she either examines and treats me or refers me to someone who can. It's hard to be assertive, but it's even harder being a pushover.Thanks, Shula. You're very helpful. I did read the "mean poster" thread before you answered me, but you instantly came off as genuine, so no worries. :)
    Anonymous 42789 Replies Flag this Response
  • Please do not listen to anything Shula or Acuann tell you. My sister just passed away because Shula and Acuann told her that her doctor was wrong and she did not have a serious condition. Acuann even told her to get acupuncture to get healed. These people are going to be investigated for practicing medicine without a license. Shula and Acuann are specifically wanted in connection with my sisters homocide. Thats right homocide. If she would have listened to her doctor instead of these internet quacks she would still be here today. Rest assured I will do everything in my power to put these two behind bars and shut this website down for good.
    Anonymous 42789 Replies Flag this Response
  • My mistake, I forgot to mention my appointment is April 2nd.
    Anonymous 42789 Replies Flag this Response
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