r/vulvodynia • u/marystreasure • 3d ago

Chronic YI or vulvodynia?

22 F

FIRST EVER yeast infection. Itching and urgency never subsided. Fluconazole didn't touch symptoms. External swab was positive. Been testing neg on internal swabs. Flares into burning over period, hot weather, running, sexual activity. Varies hour by hour. Itch dominant. Sometimes stabbing pain. Nocturia and frequency. Is this a yeast infection that embedded and so never cleared up or a nerve condition?!???

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u/marystreasure 3d ago

I dint use soap on vagina. Anti histamines don't seem to do anything.  I also have urgency.  I only use bamboo no chemical period wear  I think I do have a biome issue because I got the YI from tonnes of broad spec abx. I have a juno test w me

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u/Old_Bat6894 3d ago

Urgency is a common symptom of a hypertonic pelvic floor. Did you mention your age bc you think you shouldn't have hormone issues at this age? Your age has nothing to do with it.

If you have a hypertonic pelvic floor, the tight muscles prevent floodflow from reaching your vulva, which can prevent the hormones in your blood from reaching your vulva. So you can have a local hormone deficiency in your vulva even if your systemic hormone levels are perfectly fine. Either way, the hormone cream is great for tissue strength and quality in anyone, and has such little side effects, it is worth a try!

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u/marystreasure 3d ago

But urgency can also be a sign of an inflamed urethra. My urethra burns really badly as I finish urinating. Also I don't really believe in pf stuff for me because I had a chronic uti and once that was treated my urgency issues went away but came back with yeast infection, and urethral irriattion is a symptom of yeast 

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u/Old_Bat6894 3d ago

You may very well be right! The microbiome is not my area of expertise. If you don't get better through other means you can keep these things in your back pocket, they are worth a try :)

I just know that pelvic floor issues are so so common, and can be triggered by infections, and can worsen infections/make you more susceptible bc of the blood flow issue

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u/marystreasure 3d ago

Yeah I'm aware of pf therapy but honesty I have a real. Hunch abt chronic yeast 

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u/marystreasure 3d ago

Also I'm too sore to be putting pressure on vagina in child's pose etc