Question:
BEFORE DEMANDING CLITORAL CULTURE - THESE ARE MY SYMPTOMS AND BACTERIAL KLEBSIELLA PHUEMONIAE IS WHAT CAME BACK ON THE CULTURE!

COULD THIS CAUSE THESE SYMPTOMS???

I HAVE HAD FULL STD TESTING AND AM NO LONGER ACTIVE (5 MONTHS) AND THESE PROMLEMS STARTED 13 MONTHS AGO (BUT THIS WAS THE FIRST CLIT CULTURE)

In July 04 - achy, burning clitoris - had just been to the doctor and had a cultured positive yeast infection. She looked at my clitoris, said it looked normal and try changing soaps/detergents.

Used yeast treatment, felt better all over that area, thought the yeast just got under my hood.

Clitoral pain came back really bad in early september 04 - back to doctor - looked normal, no yeast/bacteria. The pain lasted for about a week, felt similar to a urinary tract infection BUT no burning when peeing and higher up (under hood around clit).

Forgot about it for awhile, stopped soap, changed to natural detergent, and pain went away, only happening 3x for about 1 week each from July to sep. 04.

June 05 - happend again - now more of a burning/aching/itchy(but not enough to scratch)/almost numb feeling - kind of a combo of all of those, really wierd sensation and hard to describe. And not really painful, just extremely annoying and pretty uncomfortable. I looked and see nothing, my doctors see nothing, but it aches all day. Its is much worse right when I wake up, I think from the pressure while I am sleeping.

Now it has been happening every 1-2 weeks, lasting a couple of days to a week at a time, and its just on the left side, feels almost numb.

I am now showering 2x a day with plain water and rinsing that area for about 10 minutes each time - the water feels soothing. Also, when it is really bad, my clitoris almost seems erect - but still I see nothing there. It almost feels like the pain is under my skin.

I am going to see a GYN specialist at Yale in about 5 weeks, until then, any ideas??! Thanks so much!
Answer:
[Better is] A little that a [the] righteous - man - hath - is better than the riches [abundance] of many wicked. (Psa. 16)

Hey Guest, how are you doing?

My intentions in this article are to explain the symptoms of Vulvar vestibulitis, the name used to describe one of the most common types of
. Furthermore, recommend that you ask your doctor about the use of the tricyclic medicines
, nortriptyline or desipramine, usually thought of as anti-depressants, taken in small doses at night and referral to physical therapy and pelvic floor exercises to relieve muscle spasms and generalised vulvar pain.

Although Klebsiella pneumoniae are encapsulated gram-negative bacilli, found among the normal flora of the mouth and intestinal tracts, Klebsiella pneumoniae has been concidered to be a virulent respiratory pathogen since first described by Friedlander in 1882. (Turck 833) Because of laboratory findings of bacilli such as this, treatment for these infections is often recommended, and the lack of response to this makes vestibulitis, or localised provoked vulvodynia, a possible cause of a painful vulva. (Oakley, Ngan Vulvar vestibulitis)

In other words, delay in diagnosis is common. One reason is the appearance of the vulva may seem normal when the doctor does an examination and swabs taken to culture bacteria, yeasts and viruses in case an infection accounts for the symptoms. (Oakley, Ngan Vulvar vestibulitis)

Nevertheless, if you are of a pale skinned race or Asians, vestibulitis is not a sexually transmitted disease (STD), although it usually affects sexually active women aged 20 to 40, but younger and older women may also be affected. Localised vulvodynia appears to be due to hypersensitive nerve endings relating to spasm in the pubococcygeus muscle, but the precise cause is not known. (Oakley, Ngan Vulvar vestibulitis)

The International Society for the Study of Vulvovaginal Diseases (
) in 2001 reclassified the condition as ‘provoked vulvar dysesthesia localized to the vestibule’. The vulva appears entirely normal in most affected women but tender areas can be detected in the vestibule when gently pressed with a cotton bud. (Ngan Dyaesthetic vulvodynia)

Treatment is difficult and dedication by the patient and doctor is required in order to overcome the physical and psychological impact the disorder has on daily life. Therefore, no medical treatment is guaranteed to cure vulvodynia. (Oakley, Ngan Vulvar vestibulitis)

In some patients symptoms settle by themselves, although it may take months or sometimes years to do so. Both you and your partner need to understand and learn how to cope with the stresses that the condition can place on relationships because sex without penetration is recommended: ask your doctor to refer you and your partner to a sex therapist for advice - lovemaking can still be satisfying for both of you. (Oakley, Ngan Vulvar vestibulitis)

The most successful measures in the management of vulvar vestibulitis appear to be:
Referral to a physiotherapist specialising in urological and gynaecological problems for pelvic floor exercises, biofeedback, electrical stimulation and muscle relaxation training. The tricyclic medicines
, nortriptyline or desipramine, usually thought of as anti-depressants, taken in small doses at night. The dose should be increased 5 to 10 mg at first to 75 to 100 mg, depending on effect. They have a membrane stabilising effect on nerve endings.
(NVA) supplies a list of research institutions that are in need of study participants. To find out more on how you can participate,
.


Best wishes,