Questions concerning trip to gynecologist.

[Jas0891]

A couple of months ago I went to the gynecologist for the first time.. I am 21 and haven't had intercourse because of the pain I experience every time my fiancé and I try to have sex. Anyways I went to the gynecologist and not to my surprise I gave her a hard time (unintentionally) with inserting the speculum. She got frustrated with me but I was unable to control my tensing up every time she tried. She looked inside without inserting the speculum and asked me if I had a tampon on and I told her no and she called an older gynecologist and she asked me the same question. I have never put anything inside and they wouldn't offer me an explanation as to why they thought I had a tampon on. When I asked they were like oh it's fine . With that being the worst and most uncomfortable experience I decided to go see another gynecologist soon but I wanted to know if anyone would know what they may have seen inside that looked like I had a tampon. It has me worried. I am now  having painful cramps usually a week before and during my period. I am currently on my period and I get these sharp localized pain around my pelvic area. I want to see a gynecologist because of these symptoms and uncomfortable vaginal and even anal itching. And also during that visit the gynecologist inserted her finger and said she couldn't find my cervix. I had an ultrasound done to check my uterus and the results were normal. Could I have just visited a bad gyno?

[ticked]

It is possible you have Endometriosis and I would talk to your gyno about that.

They like to try putting you on the pill continuously to see if that stops the pain however if this has been a long term thing for you, you most likely would need an exploratory lap to have the Endo removed.

Sometimes the Endo is so bad it sticks to everything like glue like mine was. I had all my insides wrapped around my uterus. What she might have seen was possibly your ovary which is white which wouldnt be in that area unless it has been affected by Endo and or scar tissue.

Look up Endometriosis and let me know if this sounds like it is a possibility. You can also look at my journals and look at my one about my journey and see if you can relate to any of it. I had endo starting from my second period at 13 and it went untreated for 17 yrs causing serious damage inside.

[Jas0891]

Thank you very informative

[Jas0891]

Yes the cramps are most painful during the first day and sometimes the second day of my period. It's been like this for the most part but not always. And with sex, yes

[ticked]

Do you cramp when you have your periods? Was this always the case? Have you always had pain with sex?

[Bhupinder Kaur, MD]

Hello,
It looks like vulvodynia. Pain before and during menstrual periods are most likely due to premenstrual symptoms. Vulvodynia is burning discomfort, itching, throbbing, or tenderness in the genital region. Symptomatic treatment includes sitz-baths, anesthetic gels (lidocaine), topical steroid creams, pain relief medications like ibuprofen etc. Avoid any possible irritants including harsh soaps, chemicals, deodorants etc. Avoid coffee, alcohol etc. The last option would be laser surgery. Other causes of your symptoms include pelvic inflammatory disease, ovarian cysts, pelvic adhesions and endometriosis. For a confirmed diagnosis - you would need a clinical examination by an OBG specialist, blood tests and other tests to rule out an infection and hormonal causes; ultrasound scan to rule out the pelvic causes.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.