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Hello Doctor I Am 29 Year Old Married Woman I

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Posted on Tue, 2 Oct 2018
Question: Hello doctor I am 29 year old married woman I am having sharp throbbing pain in my vagina which comes and go...no burning sensation during urination but felt like burning otherwise near my vaginal wall
I had my pap normal,ultrasound normal,ct scan of kub normal, no infection, routine urine test and culture normal, only transvaginal ultrasound revealed adenomyosis.
But I don't have any problem related to this like heavy mensuration or cramps
My doctor is also clueless what causing me pain....pelvic examination is also normal.
doctor
Answered by Dr. Dr. Rakhi Tayal (8 hours later)
Brief Answer:
Can be a nerve related pain.

Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
A sharp throbbing pain in the vagina with no detectable abnormality on various tests can be due to a nerve related pain or a pelvic inflammation. Adenomyosis can also cause such a pain.
You need to get an MRI scan of the pelvis done to detect any abnormality and consult a neurologist to rule out any nerve compression or a nerve root irritation. Methylcobalamin supplements can be helpful in case it is a nerve related pain.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you good health.
Regards.
Dr. Rakhi Tayal

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Rakhi Tayal (1 hour later)
Since CT scan of only kidney bladder and ureter is done can I ask for CT scan of pelvic area.
One more thing I have to clear I had cervical ectropian with no abnormality in pap was detected in year 2014 after that I had always normal pap...never had a abnormal pap in 5years...when I ask for my doctor for hpv test along he said I don't have hpv and cervical ectropian is common and it's happened to me because of constant uti..not because of hpv.... Is he correct?
doctor
Answered by Dr. Dr. Rakhi Tayal (5 hours later)
Brief Answer:
CT scan of pelvis is not needed.

Detailed Answer:
Hello.
Thanks for writing again.
If the CT scan of bladder and ureter are done then pelvic CT scan is not needed separately. Constant UTI can cause cervical ectropion. HPV test can further confirm this.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Rakhi Tayal (22 minutes later)
I am having also burning sensation in my vaginal wall
When I had pap smear it was cervico-vaginal pap and they used ayre spectula to extract cells I felt like they also extract some cells from my vagina also that is lower vagina near lips Not sure though..
So my question is if there is some abnormality in my vulva area in that part...can they detect?
I am very scared that m on the way of getting vulva cancer...although right now no physical abnormality.
doctor
Answered by Dr. Dr. Rakhi Tayal (3 hours later)
Brief Answer:
Only examination can detect.

Detailed Answer:
Any abnormality of vulva can be detected by a physical examination that is done before a pap smear. However the swab taken does not usually detect abnormal cells of vulva.
Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Rakhi Tayal (16 minutes later)
I heard that VIN is Initial condition of vulva cancer
But can VIN be present without any physical symptoms
As I don't even have redness also around the vulva... But it's itching burning and paining a lot.
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Follow up: Dr. Dr. Rakhi Tayal (3 hours later)
My doctor already did the physical examination but still I want to be sure
I am uploading closest possible image of my vulva
Do you see any abnormalities do I need biopsy ?
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Follow up: Dr. Dr. Rakhi Tayal (1 minute later)
Sorry I have generalised anxiety disorder also and because of that also my doctor never took me serious so I want to be sure from you.
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Vulva appears normal.

Detailed Answer:
VIN can be present without any physical symptoms. The symptoms that you are having are not related to any malignancy.
I have seen the attached image and it appears normal to me. Biopsy is not needed. Just relax.
Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14047 Questions

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Hello Doctor I Am 29 Year Old Married Woman I

Brief Answer: Can be a nerve related pain. Detailed Answer: Hello, Thanks for posting your query. I have gone through your query and understand your health concerns , A sharp throbbing pain in the vagina with no detectable abnormality on various tests can be due to a nerve related pain or a pelvic inflammation. Adenomyosis can also cause such a pain. You need to get an MRI scan of the pelvis done to detect any abnormality and consult a neurologist to rule out any nerve compression or a nerve root irritation. Methylcobalamin supplements can be helpful in case it is a nerve related pain. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal Wishing you good health. Regards. Dr. Rakhi Tayal