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Vaginal and anal tearing/fissures

For the last 6 months I have been getting tearing (look like paper cuts) in my vaginal area (1/4 to 1/2 inch long). I get the tears at least once or twice a week and they last from 2-4 days, go away for a few days and then come back. They continue to occur in the same locations;
1. Inside the vaginal lips on the sides almost always in the crease (between the labia minora and majora?)
2. Between the anus and vaginal opening (perineum)
3. Above the clitoris in the "hood" area.

This tearing is not related to intercourse since my husband and I are unable to do that due to the pain it causes me.  There is no real pain otherwise. I am getting some minor bleeding when I poop due to the tears in the anal area. The entire vaginal area is very itchy and if I scratch or rub the skin at all I often give myself one of these tears.  It seems as if the skin is very thin. There are no other symptoms that I am aware of.

I have had blood work and a biopsy done. Some of the things that I was tested for were; genital herpes, lichen sclerosus, lichen simplex chronicus, lichen planus, vulvar vestibulitis.  All results came back negative. The biopsy tested positive for "healing ulcers". My doctor does not seem to know what the problem is and is contacting a specialist in Lebanon, NH.

My Dr. prescribed an estrogen cream which did not seem to work. I have not been on any other medication for this. I am looking for some guidance as to what this condition may be and how to treat it. My husband & I want to get pregnant soon but I would like to resolve this issue first. Please help.
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jnw
me again..been to the docs again he put me on 20days of keflex and gave me two different creams ..the first one a nystatin type cream didnt seem to help much but the second cream has helped tremendously..its called clobetasol propionate ointment .05%  this seems to have worked alot by using morning and night..wearing boxer shorts only and during the day keeping triple antibiotic ointment on the fissure..hope this helps..finally getting some relief myself!!!
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Avatar universal
kgr
I'm really not sure if I experienced the exact same thing, but the paper cut-like tear is something I experienced after childbirth (along with anal fissures). It hurt to urinate and it was only one cut - I can only imagine the pain with many. I called my ob thinking one of my stitches opened. I went in and a suture was removed because it was not dissolving and one of the nurses suggested dabbing Neosporin on it. She said it would help to heal as well as create a barrier to help lessen the pain when urinating. This particular thing worked for me. The cut (in the perinuem) healed and I have not had an issue since. The anal fissures, on the other hand, is something I am still dealing with.  I went to a gastroenterologist and she put me on antibiotics and Nitroglycerin ointment. This seems to be working, but slowly. I also had a colonoscopy and upper-GI/lower bowel series which impeded healing. The Nitroglycerin gives you a bit of a headache, but it is better than the alternative. I also take Colace daily and stay on a high fiber diet and drink a LOT of water. I hope this helps a little - I didn't realize so many others are suffering from similar issues. Best of luck to all of you.
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Avatar universal
Thank God I'm not the only one with this problem.  I've been trying to research this all day because after going to the doctor she thought it was herpes, but the results came back negative.  I had a tear almost probably about an 1/2 long right between my vagina and anus.   It burns sooo bad to wipe, pee, if I move and stretch the area in that skin.  It happens after sex with my boyfriend, probably because sometimes we are rough, and there isn't enough lubrication.  I have to wait a few days until it has healed to have sex again.  The doctor isn't much help, she was hell-bent on thinking it was herpes.  If anyone finds anything out, or what can be done to stop these awful tear, keep me informed! Thanks
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Avatar universal
I have had these vulvar paper cut tears for over a year.  It started the fall of 2002.  I didn
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Avatar universal
I experiance these same kind of lacerations.  The best treatment I have found is Balmex- a kind of skin protectant found in the pharmacy area with diaper rash items.  Other similar products containing zinc oxide were recommended by my doctor but cause intolerable itching.
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Avatar universal
I have been experiencing the same type of vaginal and anal fissures for a few months now and I was scared to death until I found this forum.Just like many of you, I went to the doctor about three weeks ago and the first thing she said also was Herpes.She took a blood test and a normal pap and I still haven't received any results yet.At first I was pretty sure it was going to end up being Herpes but when I read the first comment posted and it sounded identical to mine, that made me feel a lot better.Hopefully I will be getting some negative results for the Herpes and a more positive solution to this problem that we are all dealing with on a daily basis. If I find any new discoveries I will be sure to share with all of you. Good luck ladies!
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