Posts Tagged ‘vaginal pain’

Progesterone May Be a Cause of VD-Vaginal Dryness!

April 4, 2013

Vaginal dryness is troublesome condition with many causes.  Vaginal dryness can lead to itching, burning and even painful intercourse.  However, one of the most common causes of vaginal dryness is the use of progesterone in either oral or vaginal suppositories.

Progesterone is a naturally occurring hormone that regulates ovulation and menstruation in women. Progesterone can also be used to regulate the menstrual cycle in women who have too little progesterone to cycle on their own. As with any medication, progesterone vaginal suppositories have the risk of side effects.

Other side effects of progesterone include mild nausea, vomiting, bloating, abdominal cramps, diarrhea, constipation, dizziness, drowsiness and fatigue. Other more bothersome side effects may include pain in the vaginal or rectal area or pain during sex. Some women may experience a reduction in libido. Some women will experience pain, swelling or tenderness in the breasts. Other discomforts can include joint or muscle pain and an increase in urination at night. The suppository itself can cause mild vaginal itching, burning or discharge, according to

In additional to vaginal dryness possible serious side effects include a sudden headache accompanied by numbness or weakness that occurs on one or both sides of the body. These more serious effects paired with shortness of breath, vision problems, speech problems or loss of balance may indicate a stroke or other serious condition. Women should report chest pain, chest heaviness, pain or swelling in the legs, hands, feet or ankles to a doctor. Other serious effects include fever, chills, body aches, flu symptoms, breast lumps, depression, insomnia and mood changes. Some women may experience liver problems with the use of the medication. explains that the symptoms of this include jaundice, clay-colored stools, darkened urine, appetite reduction, low fever or abdominal pain paired with nausea.

ImageBottom Line: Vaginal dryness is an uncomfortable condition “down there”.  The problem may be related to progesterone or to your birth control pills if they contain progesterone.  For more information speak to your physician.

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Dr. Neil Baum is the co-author of What’s Going On Down There-Improve Your Pelvic Health available from

When Things Aren’t Right “Down There”-When Women Should Call Their Doctor*

April 21, 2011

For most women, a couple of irregular menstrual cycles or an occasional yeast infection are just a part of life — nothing that time or simple treatment won’t cure.  However, there are a few symptoms that warrant a call to the doctor.  This article will cover when you should call your doctor for problems “down there”?
1. Pelvic Pain
Pain at the time of ovulation, is referred to as Mittelschmerz.  However, if you have pelvic pain that persists or doesn’t ease with simple home treatment, call your doctor.
When a woman has chronic pelvic pain, doctors will check for benign uterine fibroids and endometriosis. They will also look for pelvic inflammatory disease, which usually appears as a triad of pelvic pain, vaginal discharge, and fever.
In addition, abdominal pain and vaginal bleeding may signal an ectopic pregnancy, in which a fertilized egg implants outside of the uterus.  This is a medical emergency and you need to visit an emergency room if you can’t reach your doctor.
Ovarian cancer is another condition that can cause pelvic pain.  The symptoms of bloating, pelvic pressure and frequency of urination for more than two weeks is a potential sign that you should be checked for a possible ovarian cancer.
2. Irregular Bleeding
If you’re not on any kind of birth control and you have irregular bleeding that lasts for more than a month or two, you should always be checked.  Irregular bleeding includes: periods that last longer than normal, bleeding mid-month, having two periods per month, bleeding after sex, and other unusual patterns.  Abnormal bleeding may stem from multiple causes that aren’t serious, among them, perimenopause or uterine fibroids or polyps.
If you bleed every time after sex, that may indicate that the cervix is being easily irritated especially if there’s some infection of the cervix.  Sexually transmitted diseases, such as gonorrhea or chlamydia, can cause cervical lesions that bleed with sex.
If you’re postmenopausal, be especially vigilant about any vaginal bleeding; it’s a potential sign of uterine cancer. Uterine cancer, compared to ovarian cancer, is extremely treatable. It’s very curable because it’s generally found in an early stage and it has an early warning sign, which is postmenopausal bleeding.
3. Abnormal Vaginal Discharge
Abnormal symptoms include a strong odor; an unusually large amount of discharge; accompanying itching, burning, or irritation; unusual color; or blood in the discharge.
4. Vaginal Dryness
Vaginal dryness in postmenopausal women or vaginal atrophy can cause spotting after intercourse. Because older women have less estrogen, their vaginal tissue thins or atrophies and becomes dry and irritated.  Not only does vaginal dryness make sex painful, but vaginal thinning also leaves women more susceptible to infections and can contribute to urinary incontinence.
Most women can find relief with estrogen creams, rings, or tablets that are applied or inserted directly into the vagina.
5. Sores or Lumps
Sores in the genital area may point to herpes, a sexually transmitted disease, or cancer. Symptoms of cancer of the vulva include unusual lumps, wart-like bumps, or red, flat sores that don’t heal. Sometimes, the flat sores turn scaly or discolored.
Bottom Line: Most problems “down there” are innocuous but you should know when to call your doctor.  These are the five most common symptoms that need your attention and that of your doctor. 

*Modified from WebMD, 4-20-11