Persistent Pain and Tears: Which Specialist Should You See? - Surgery

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I'm sorry, but I haven't seen any improvement from visiting the obstetrics and gynecology department?


My vulva, which is the flesh next to the outside of the vagina, has裂開了.
It's not very large, but it's not small either, and it hasn't healed for several months.
It's also very painful...
The gynecologists say it will heal, but it hasn't! ^^ Which specialist should I see?

Han, 20~29 year old female. Ask Date: 2011/11/11

Dr. Yu Mingchang reply Surgery


Hello^^ Based on what you mentioned, the reasons for the poor healing of the wound could be 1) the wound is continuously exposed to water, and 2) there may still be an infection present in the wound.
I recommend that you visit a general surgery outpatient clinic to seek a second opinion from another physician.

Reply Date: 2011/11/11

More Info


It sounds like you are experiencing significant discomfort and pain in the area surrounding your vagina, which has persisted for several months despite consultations with gynecologists. Given the nature of your symptoms, it is important to approach this situation with a comprehensive understanding of potential underlying issues and the appropriate specialists to consult.

First and foremost, it is crucial to ensure that you are receiving the right diagnosis and treatment. If gynecologists have assessed your condition and suggested that it would heal on its own but you are still experiencing pain, it may be beneficial to seek a second opinion from another gynecologist. Sometimes, different doctors have varying perspectives on a condition, and a fresh set of eyes may provide new insights or treatment options.

In addition to gynecologists, you might consider consulting a dermatologist, particularly one who specializes in dermatology related to the genital area. Skin conditions can often manifest in ways that are not immediately apparent, and a dermatologist may be able to identify any underlying skin issues, such as infections, dermatitis, or other skin disorders that could be contributing to your pain and discomfort.

Another option is to see a pelvic floor specialist or a urogynecologist. These specialists focus on disorders related to the pelvic floor, which can include pain in the vaginal area. They can assess for conditions such as pelvic floor dysfunction, which may be causing or exacerbating your symptoms. They may also provide physical therapy options that can help alleviate pain and promote healing.

If your pain is accompanied by other symptoms such as unusual discharge, fever, or significant changes in your menstrual cycle, it is essential to communicate these to your healthcare provider, as they may indicate an infection or other serious condition that requires immediate attention.

In the meantime, there are some self-care measures you can consider to help manage your symptoms. Keeping the area clean and dry, avoiding irritants such as scented soaps or lotions, and wearing breathable cotton underwear can help reduce discomfort. Additionally, over-the-counter pain relief medications may provide temporary relief, but it is important to consult with a healthcare professional before starting any new medication.

Lastly, if you find that your pain is affecting your mental health, consider speaking with a mental health professional. Chronic pain can lead to feelings of frustration, anxiety, or depression, and addressing these feelings is just as important as treating the physical symptoms.

In summary, given your persistent pain and the lack of improvement, I recommend seeking a second opinion from another gynecologist, consulting a dermatologist, or seeing a pelvic floor specialist. It is important to advocate for your health and ensure that you receive the appropriate care for your condition. Remember, you deserve to feel comfortable and pain-free, and there are specialists available to help you achieve that.

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