Inquiry
I have been suffering from chronic constipation, and due to straining during bowel movements, I have developed gynecological issues.
Although I have seen a doctor, my condition has not improved.
The vaginal discharge causes itching, and while I can tolerate pain, the itching eventually becomes unbearable, leading to severe irritation.
Whenever there is moisture, the skin from the urethra to the area behind the anus is severely affected, and now it bleeds upon contact.
How can I protect the skin in that area? (Besides the medication mentioned in #25274) Because I often damage that area and frequently wash with hot water, I am unsure if this is causing the skin to become thinner.
While sitting in a rocking chair, I suddenly lifted my legs and felt a sharp pain in the genital area.
After a check-up in #21408, there were some traces of blood.
Could it be that I have ruptured my hymen?
Lin, 30~39 year old female. Ask Date: 2008/03/05
Dr. Huang Jianxun reply Obstetrics and Gynecology
1.
Based on your description, it may be a stubborn fungal infection in the perineal area.
Please consult a gynecologist or dermatologist.
2.
The issue of constipation should be addressed, and there are many methods available.
Most clinical physicians across various specialties have treatment experience, so please choose the method that suits you best.
3.
To determine if the hymen has been ruptured, you may consult a gynecologist.
Wishing you peace and health,
Dr.
Huang Chien-Hsun, Director of the Department of Obstetrics and Gynecology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2008/03/05
More Info
Managing vaginal discomfort and protecting the skin in the genital area is a significant concern for many women, especially those experiencing chronic issues such as itching, irritation, and skin damage. Based on your description, it appears that you are dealing with a combination of factors that may be contributing to your discomfort, including persistent vaginal discharge, skin irritation, and possibly the effects of constipation and straining during bowel movements.
Understanding the Causes
1. Vaginal Discharge and Itching: Vaginal discharge can vary in consistency and odor, and it can be influenced by hormonal changes, infections (such as yeast infections or bacterial vaginosis), and other factors. Itching is often a symptom of irritation or infection and can lead to skin damage if not managed properly.
2. Skin Fragility: Frequent washing with hot water can strip the skin of its natural oils, leading to dryness and increased sensitivity. This can make the skin more prone to irritation and injury, especially in delicate areas.
3. Constipation and Straining: Chronic constipation can lead to straining during bowel movements, which may cause trauma to the pelvic floor and surrounding tissues. This can exacerbate discomfort and lead to further complications.
Recommendations for Skin Protection and Management
1. Gentle Cleansing: Instead of using hot water, opt for lukewarm water and a mild, unscented soap specifically formulated for sensitive skin. Avoid douching or using harsh soaps, as these can disrupt the natural flora of the vagina and lead to further irritation.
2. Moisturizing: Consider using a gentle, hypoallergenic moisturizer or barrier cream on the external genital area. Products like petroleum jelly (Vaseline) can provide a protective barrier and help retain moisture. However, avoid inserting any products into the vagina unless specifically recommended by a healthcare provider.
3. Cotton Underwear: Wear breathable cotton underwear and avoid tight-fitting clothing to reduce moisture buildup and friction. This can help keep the area dry and minimize irritation.
4. Managing Discharge: If you are experiencing abnormal discharge, it is crucial to consult with a healthcare provider for a proper diagnosis and treatment. They may recommend antifungal or antibacterial treatments depending on the underlying cause.
5. Addressing Constipation: It is essential to manage constipation to reduce straining during bowel movements. Increasing dietary fiber, staying hydrated, and possibly using over-the-counter laxatives or stool softeners can help. Consult with a healthcare provider for personalized recommendations.
6. Avoiding Irritants: Be mindful of products that may irritate the genital area, such as scented tampons, pads, or personal hygiene products. Opt for unscented options whenever possible.
7. Regular Check-ups: Given your ongoing symptoms, regular visits to a gynecologist or dermatologist are essential. They can provide tailored advice and treatment options based on your specific condition.
Addressing Concerns About the Hymen
Regarding your concern about whether you have ruptured your hymen, it is important to note that the hymen can stretch or tear due to various activities, not just sexual intercourse. If you notice bleeding or significant pain, it is advisable to seek medical attention to rule out any serious injury or condition.
Conclusion
Managing vaginal discomfort and protecting the skin in the genital area requires a multifaceted approach. By adopting gentle hygiene practices, moisturizing, managing underlying conditions like constipation, and consulting with healthcare professionals, you can significantly improve your comfort and skin health. Remember, it is essential to listen to your body and seek help when needed, as persistent symptoms may indicate an underlying issue that requires medical attention.
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