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What could cause a constant feeling of UTI and pain during intercourse?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have had constant UTI feelings and indescribable pain during intercourse. I have gone to a gynecologist, and the doctor confirms it is not IC (interstitial cystitis). I am negative for HPV and chlamydia.

Thank you.

Hi,

Welcome to icliniq.com.

It is good that you have already seen a gynecologist and ruled out some potential causes. However, a few other possibilities may be worth exploring with your gynecologist or another healthcare provider.

  1. While you have already ruled out some common sexually transmitted infections (STIs) like chlamydia, other vaginal infections can cause similar symptoms. For example, bacterial vaginosis (BV) and yeast infections can cause discomfort, itching, and burning sensations during sex. Your gynecologist may want additional testing to see if either of these conditions could be causing your symptoms.
  2. Pain during intercourse can also signify pelvic floor dysfunction, a condition where the muscles and ligaments that support the bladder, uterus, and rectum become weak or tight. This can cause pain or discomfort during sex and urinary symptoms like urgency or frequency. Your gynecologist may refer you to a physical therapist or specialist who can help diagnose and treat this condition.
  3. Endometriosis is a condition where the tissue that lines the inside of the uterus grows outside, causing pain and discomfort. While it is often associated with painful periods, it can also cause pain during sex and urinary symptoms. Your gynecologist may recommend additional testing, such as a pelvic ultrasound or laparoscopy, to see if this could cause your symptoms.
  4. Follow up with your gynecologist or another healthcare provider to discuss these possibilities and explore additional testing or treatment options. They may also provide additional support or resources to help manage your symptoms.

    Thank you.

Medically reviewed byiCliniq medical review team

Published At March 3, 2023
Reviewed AtJanuary 3, 2024

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