Discussions By Condition: I cannot get a diagnosis.

pain in urethral opening

Posted In: I cannot get a diagnosis. 39 Replies
  • Posted By: Anonymous
  • November 27, 2006
  • 07:46 PM

I am a woman, about 48 years old and in very good health. I have pain in just the urethral opening. It doesn't burn when I urinate and I feel no urgency to urinate. It isn't terribly incapacitating, but it is worrisome because it is almost always present.

What it feels like is as if there is a sliver of glass pricking the tissue, kind of tingling discomfort. It's very strange. I haven't had anything like this before. An herbalist I see thinks it could be some candida that is irritating the opening. I had a mild yeast problem around my vulva that some yeast cream and herbs have taken care of, but the pain in my urethra is persisting. I am concerned about this. Anyone ever experience anything like this?

The only thing I can relate it to is a new sexual partner. Maybe some bacteria has gotten into the urethra during sex. Anyone ever have urinary tract infection that just affected the opening and didn't work itself up into the urethra?

The other thought is that maybe some foreign body has lodged itself in there. I can't think of anything that would have, but if anyone has ever heard of something that could produce this sensation, I would be most grateful.

Another thought is that it could be from soap irritation, but this seems doubtful.

By the way, I always wear cotton lined underwear, practice good hygene at the toilet, go to the bathroom after sex, etc.

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39 Replies:

  • I had this experience shortly before I had a kidney stone attack. I have a history of kidney stones and had never experienced that before but this last time around my doctors couldn't figure out what was wrong. They thought it might be a bladder infection or a yeast infection but those both came back negative. Then shortly after that I had a kidney stone attack and after i had that resolved the pain was gone. Something to think about
    Anonymous 42789 Replies
    • November 28, 2006
    • 09:08 PM
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  • Yeah i am 19 and have the same problem. I better not have any kidney stones tho. I have been tested for everything and it sounds closest to Vestibulitis but i havent checked that out with my doctor yet. If you find out anything about this problem leave a reply under "Vaginal Irriation" by Pongo with a mad red face. Thanks
    Anonymous 42789 Replies
    • December 9, 2006
    • 05:40 AM
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  • Thanks for the ideas. So far no evidence of stones. The irritation has gone away. Maybe I was passing very small ones that cause just a little pain or irritation, which I heard can happen.The pain cleared up though with an herbal formula my alternative medicine practitioner gave me, but I went in for a routine pap smear because I was showing signs of a yeast infection that just wasn't getting any better with treatment. This is my first yeast infection in over 20 years. I'm not particularly prone to them.Turns out they suspect I have HPV (a follow-up in February should be conclusive), so I am wondering if that is what could have irritated my urethra and maybe made the yeast infection worse.I've seen some things on the web that indicate that HPV can cause symptoms mimicing urethral irritation or bacterial vaginosis or yeast infection. Always good to verify this with anecdotal evidence. Anyone else have this experience of HPV not manifesting so much as genital warts but more as irritation (itching, burning) or yeast-like symptoms? I do have a yeast infection, but because it is a real doozy to get rid of I am wondering if both these problems are somehow interelated.
    Anonymous 42789 Replies
    • December 9, 2006
    • 10:13 PM
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  • I am going through exactly the same thing. I have been through all sorts of tests for kidney stones which were all negative. My urethra hurts all the time. I have been on all sorts of anitbiotics which do nothing to stop the pain or clear the infection. I do sometimes test positive for bacteria in the urine. They always find blood in the urine. I have on again off again symptoms of yeast. I was in perfect health up until this past August. I have been in constant pain for 4 months now. I am at my wits end. I feel totally hopeless. I am under the care of a new urogyn. She is very caring but I don't know how many options are left to try. I would love to know what kind of medicine finally worked for you. I am desperate.
    Anonymous 42789 Replies
    • December 10, 2006
    • 04:15 PM
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  • i have pain in the urethral opening too. I've been having constant bacterial vaginosis and yeast infections even when practicing all the good hygiene "rituals" in the bathroom and after sex. i recently visited my gyno to see if I had another infection but he said there was nothing wrong. i don't get why i still have this pain in my urethral opening. it's like a numbing sensation. i don't feel pain when i urinate though. which doctor should i be going to? a urologist? or a different gyno?
    Anonymous 42789 Replies
    • September 10, 2008
    • 00:43 AM
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  • I'm almost 48 and I have had this problem for over a year. I've been to the urologist, the gyno(thought it was caused by uterus fusing to bladder and did hysterectomy) and the family doc about it and it still is a problem. Kind of a burning/tingling, all tests come back fine. I can't sleep because the sensation is kind of like needing to go, so often I need to take prescr. drugs to sleep. I am a homeschool Mom and sometimes I get sleep-deprived and can hardly function. I swim a mile 2x wk and run 2 miles or so 3x wk. Maybe it's the chlorine? Or friction from running? Or pubic hair rubbing? Herbalist says cornsilk tea soothes urinary tract...helps a bitMaybe vagisil would help?Maybe it's menopause....Just wanted to empathize and let you know others have this thing!
    Anonymous 42789 Replies
    • September 24, 2008
    • 09:48 PM
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  • I am 35 and cannot find any doctor who can help me with the problem you all are referring to. I don't have any infections and the pain is only in the opening of the urethra and only hurts during intercourse. This has been ongoing for about 6 years now, and I am really feeling hopeless now. Does anyone have any suggestions for me? My sex life with my husband is nonexistent because it hurts to have sex. Doctors have told me to just use K-Y... that doesn't help! I am so frustrated! It hurts so badly and there seems to be no help out there.
    Anonymous 42789 Replies
    • February 8, 2009
    • 08:07 PM
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  • I have no idea if what ya'll are refering to is what I have but here goes my story. I have been having this burning sensation in my urethral opening too...almost seems to be right where my "g-spot" is. I notice that it has felt a little tender or sensitive for the past few months whenever I had sex or when I went to do a PAP. I also notice the symptoms seem worse before or after my period. I have been going to my gyno and have tested and re-tested for infection and bacteria and there is none. Sometimes I have an urgency to use the bathroom several times a day, other times I don't. The pain sometimes feels worse after urination too. I am actually going to do a urinalysis tomorrow and see what the results are to make sure it's not diabetes or kidney problems. :( Wish me luck!
    Anonymous 42789 Replies
    • February 22, 2009
    • 11:22 PM
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  • I have had pain, which I always thought was repeated bladder infections, since I was 20. I am now 45, and it has been getting more frequent. Most often, infection tests came back negative. Then recently I was on a 20 day antibiotic course for a "bladder infection", and I got the symptoms of "infection" during the course! Clearly, not an infection! In the last year I have had a new sexual partner, and we started worrying it might be related to that too. One of the symptoms it starts with is a burning twinge in the uretha area. It develops into serious pain when urinating....almost to the point of tears. Idea time! I have always suffered from acid reflux, and we started thinking about the connection between the burning and acid! By trial and error, we discovered that by staying on my antacid (Nexium which stops acid production), it was significantly better, but not perfect. By looking at other antacids, I discovered some stop acid production, while some neutralize acid already formed (over the counter). When I took Pepcid ac (took the maximum dose of 2), which combines both the neutralizer and stopper, the burning stopped immediately (minutes!!!!), and never came back that day! Amost like a miracle. I have also discovered, as a very acidic person, that drinking less than 4 bottles a day of water will bring on the sysmtoms more often.....so I need to drink regularly. This pepcid AC and drinking water discovery has changed my life! Good luck, if it works for you, it will work quickly, and please post and let us all know if it helps anyone. Good Luck from Julie and Michael.
    MichaelandJulie 1 Replies Flag this Response
  • I have had pain, which I always thought was repeated bladder infections, since I was 20. I am now 45, and it has been getting more frequent. Most often, infection tests came back negative. Then recently I was on a 20 day antibiotic course for a "bladder infection", and I got the symptoms of "infection" during the course! Clearly, not an infection! In the last year I have had a new sexual partner, and we started worrying it might be related to that too. One of the symptoms it starts with is a burning twinge in the uretha area. It develops into serious pain when urinating....almost to the point of tears. Idea time! I have always suffered from acid reflux, and we started thinking about the connection between the burning and acid! By trial and error, we discovered that by staying on my antacid (Nexium which stops acid production), it was significantly better, but not perfect. By looking at other antacids, I discovered some stop acid production, while some neutralize acid already formed (over the counter). When I took Pepcid ac (took the maximum dose of 2), which combines both the neutralizer and stopper, the burning stopped immediately (minutes!!!!), and never came back that day! Amost like a miracle. I have also discovered, as a very acidic person, that drinking less than 4 bottles a day of water will bring on the sysmtoms more often.....so I need to drink regularly. This pepcid AC and drinking water discovery has changed my life! Good luck, if it works for you, it will work quickly, and please post and let us all know if it helps anyone. Good Luck from Julie and Michael.Thank you for the idea. My daughter is 22 and has had HPV for 2 years now. She has constant urinary and bladder infections and just recently has had the "burning" during urination and pain while urinating. She is devastated. However her OBGYN told her that sometimes in women the urethral opening "shrinks" and traps bacteria in the opening. She recommended surgery to make the opening bigger. Of course that sounds strange to the both of us but she is at her wits end. Has anyone ever heard of this surgery?
    Anonymous 42789 Replies
    • November 27, 2009
    • 02:22 PM
    • 0
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  • Thank you for the idea. My daughter is 22 and has had HPV for 2 years now. She has constant urinary and bladder infections and just recently has had the "burning" during urination and pain while urinating. She is devastated. However her OBGYN told her that sometimes in women the urethral opening "shrinks" and traps bacteria in the opening. She recommended surgery to make the opening bigger. Of course that sounds strange to the both of us but she is at her wits end. Has anyone ever heard of this surgery? I have the same type of pain. I was diagnosed with mild trigonitis. It is related to interstitial cystitis. I found eating non-acid food helps a lot. I use prelief to reduce acid. I am going to try the pepcid mentioned in earlier post. If you want to research and read about trigonitis and IC go to ichelp.org There is a lot of info and an area that lists foods that IC paitients think are safe, sorta safe, and no no foods. It helps a lot to stay on this diet. Not fun, but the pain is worse.
    cozynana 39 Replies
    • November 28, 2009
    • 04:52 AM
    • 0
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  • I am 35 and cannot find any doctor who can help me with the problem you all are referring to. I don't have any infections and the pain is only in the opening of the urethra and only hurts during intercourse. This has been ongoing for about 6 years now, and I am really feeling hopeless now. Does anyone have any suggestions for me? My sex life with my husband is nonexistent because it hurts to have sex. Doctors have told me to just use K-Y... that doesn't help! I am so frustrated! It hurts so badly and there seems to be no help out there.Check out the term vulvodynia and see if this puts your symptoms into prespective.
    Anonymous 42789 Replies
    • November 28, 2009
    • 05:59 AM
    • 0
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  • I believe that your new partner was unaware that he has HPV and you contracted it from him. Yes, I think it can manifest in many ways and you have microscopic viral particles that are causing your discomfort. You do not need to have a visual wart appear to have symptoms; just like for herpes. I would also get a blood test for herpes 2 specific, as it can be responsible for the bladder irritation. If he didn't know he had HPV, he may not know he has HSV. Many times, they are both silent with no outward appearances until someone like you has a reaction. The lady writing for her daughter, it would make more sense to treat the hpv, along with the blood test for hsv. Several acupuncture treatments may bring relief, which is preferable over surgery. Messing with a young lady's organs could bring a lifetime of pain. Try acupuncture.
    Monsterlove 2921 Replies
    • November 28, 2009
    • 08:08 PM
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  • i can relate to all of your stories. i had this problem for more than a year now. i have slight pain/irritation during intercourse and sometimes slight irritation out of nowhere. i believe there is a problem with the medical family/gyno doctors when it comes to eurithal pain or pain in that region not caused by bacteria. i went to a few doctors and gyno and they told me to use more lubrication or that it's psychological. they need to educate themselves more.finally i went to a chinese herbal doctor and he told me that my euritha is damaged, he said the skin inside of it is damaged and does not heal properly and it comes off again due to irritants and bacteria in that region (just like a scrape on the knee). it can heal but it takes time and patience. he gave me some herbal teas and herbal medication and that's helping a little. but the most important thing is that he gave me the right diagnosis. following the right diet is extremly important for the eurethia to heal. soo here it is: no alcohol, no coffee, no sugar, no onions, no garlic, no ginger, nothing too spicy/hot, no red meat (only eat fish and chicken,turkey etc). i believe also natural yougurt can help with fighting the bad bacteria that may be in the area and rebuilding the good bacteria. also, unfortunately from my own experience, lots of sex can slow down the healing as the bacteria and friction is pretty bad. i'm mostly following this diet but i also think i should be abstinanant for a bit to heal my eurethia.
    Anonymous 42789 Replies
    • November 28, 2009
    • 09:14 PM
    • 0
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  • OMG! I am going through the same thing I was recenctly diagnosed with HVP low grade, I have irratation to my vagina and the doctor look at it and said it was some kind of infammatory on the urethra. It is very irratating during sex and after sex it burns to urinate. sometimes it is irratating throughout the week. My doctor just can't seem to find out what is causing that. He said that HPV does not cause anything like that. He tested me for HSV 1 and 2 and I was positive for HSV 1 for cold sores which I have never gotten and it was negative for 2 gential area. He wanted me to try Valtrex to see if it will help but I dont know I just started to take it if that don't work he wants to send me somewhere else. Now I am pregant and doctors really can't do much for me I am very aggravated and because of this If any know anything please give me information.
    Anonymous 42789 Replies
    • January 6, 2010
    • 09:59 PM
    • 0
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  • I am a 66 year old female. I have had pain in the urethra opening for four months. This pain does not extend upward...only at the opening. It does not burn when I urinate. The pain is just there like a sticker. Also I do have more frequent urination. Have been to two gynocologists. One was ready to start me on bladder rinses. I cancelled. I came upon an ebook called overactive bladder and IC, OAB. It was stated in that book that too much salt can cause all kinds of problems. In the last ten days, I have cut salt intake to 600mg a day. I am a huge salt lover..but no more. The condition is slowly improving. Also mentioned in the book is a drink made of ester c, lysine, and l-proline powders. My health food store ordered, but one of the powders is on back-order. It will help my bladder with any damage done to it, by to much salt. If anyone wants more information please feel free to email me at lmshars@gmail.com
    lmshars 1 Replies
    • January 14, 2010
    • 06:38 PM
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  • I am 35 and cannot find any doctor who can help me with the problem you all are referring to. I don't have any infections and the pain is only in the opening of the urethra and only hurts during intercourse. This has been ongoing for about 6 years now, and I am really feeling hopeless now. Does anyone have any suggestions for me? My sex life with my husband is nonexistent because it hurts to have sex. Doctors have told me to just use K-Y... that doesn't help! I am so frustrated! It hurts so badly and there seems to be no help out there.Hey, I've been having similar pain on the opening of my urethra and other lady areas. While my doctor doesn't know what is going on, he said I could use a anesthetic spray (like the kind you get after having a baby) to use down there so that my husband and I can tare uncomfortable with an over the counter spray, you can ask your doctor for a prescription of lidocaine gel. It will burn a little bit before you go numb but it is worth it. Hope that helps!Kate
    Anonymous 42789 Replies
    • January 15, 2010
    • 11:59 PM
    • 0
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  • I have all the same problems everyone else has had, but I am only 18 years old. I've been having reoccuring UTI's and yeast infections for about 6 months now and my doctor keeps giving me tons of anti-biotics. I have also been doing all the safety pre-cautions such as urinating after sex, drinking tons of water, etc. Just when I think everythings ok, I get pain in the urethral opening that feels like a slight stabbing pain that comes and goes. I also have pain in that area during sex and it's really uncomfortable. My doctors have no idea what they're doing and I'm running out of ideas. I'm suprised to see that so many people have the same problem as me, I thought I was alone!
    Anonymous 42789 Replies
    • January 31, 2010
    • 03:49 AM
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  • I have all the same problems everyone else has had, but I am only 18 years old. I've been having reoccuring UTI's and yeast infections for about 6 months now and my doctor keeps giving me tons of anti-biotics. I have also been doing all the safety pre-cautions such as urinating after sex, drinking tons of water, etc. Just when I think everythings ok, I get pain in the urethral opening that feels like a slight stabbing pain that comes and goes. I also have pain in that area during sex and it's really uncomfortable. My doctors have no idea what they're doing and I'm running out of ideas. I'm suprised to see that so many people have the same problem as me, I thought I was alone!I'm a 31 year old female and I've been having this same issue. I've had UTIs and yeast infections for about 10 years, with various degrees of pain and different strains of bacteria such as ecoli, and I just don't know what to do anymore. My sex life is suffering horribly :( I've tried EVERYTHING - Cipro (clears urine infection, causes yeast infection), boric acid crystal and everything in between. I do everything right - Wash daily, cotton underwear, no hot tubs, drink pure cranberry juice and take acidopholus (sp?) daily. Sometimes it goes away for a bit, but comes back even worse. I can't ride a bike and the pain is often debilitating. There is always an awareness there, around the "gspot" area, and sometimes constant burning which is worse when I have an empty bladder. There is throbbing, pulsing pain and sometimes external itching. So many symptoms! I'm going bananas. Anyway, nice to find this site and see that I'm not alone. I just wish so badly for a cure.
    Anonymous 42789 Replies Flag this Response
  • Wow, it's good to know that I'm not the only one who has this problem - but at the same time kind of annoying that nobody really knows what it is or how to cure it!!I'm 25 and I often suffer from UTI's - but just not often enough for doctors to really take notice of them as 'recurring' - and the past six months this problem has been coming and going, where my urethra hurts just at the opening but there isn't any pain any higher up or in my bladder. It's SO annoying. Last time I went to the doctor about it there was no evidence of a bacterial infection, so she told me it should pass in a few days if I drink lots of water, blah blah blah. She said if it continues I should go back and she'll take a urethral swab - which sounds terrifying!!! Has anyone had this done? What are they usually looking for with a urethral swab?So sick of this problem!!!
    Anonymous 42789 Replies Flag this Response
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