Patient's question:
Dr. Li:Hello!
I am 24 years old, have never been pregnant, and have had a history of candidal vulvitis.
Afterward, when I have sexual desire, there is some pain on both sides of the vagina, with a sensation of contraction.
During intercourse, the vaginal opening may tear slightly, causing a bit of bleeding and pain, which subsides after a few days.
There are extra fleshy growths at the base of the inner labia. I usually clean the external genitalia with Fuyanjie.
My menstrual blood often has a very strong odor.
When I bend over, my lower back aches slightly. The lower abdomen feels tender unless the doctor presses on it.
Doctor's answer:
Hello: Your situation first requires active treatment for your pelvic inflammatory disease. Pelvic inflammatory disease is an inflammation of the female internal reproductive organs and the surrounding connective tissues, as well as the pelvic peritoneum. The inflammation can be limited to one area or occur simultaneously in multiple areas. It can be classified as either acute or chronic. Acute pelvic inflammatory disease is primarily caused by pathogens, and its clinical manifestations can vary depending on the severity and extent of the inflammation. Patients often experience high fever, chills, loss of appetite, and lower abdominal pain, and may also have digestive and urinary system symptoms. Chronic pelvic inflammatory disease is often a result of inadequate or incomplete treatment of acute pelvic inflammatory disease, poor patient constitution, and prolonged duration of the illness. It can also occur without a typical history of acute inflammation, and may manifest as acute episodes when the body's resistance is weakened. Patients usually have no obvious systemic symptoms, but may experience low fever, lower abdominal pain, and back pain. Menstruation may become heavier, and leukorrhea may increase. If ovarian function is impaired, menstrual disorders may occur. If fallopian tube adhesion or blockage occurs, it may lead to infertility. In daily life, it is important to maintain good hygiene during the four phases (menstruation, pregnancy, childbirth, and postpartum), actively treat vaginitis and cervical inflammation, and strengthen exercise to enhance physical fitness. If surgical indications exist, surgical treatment should be performed. For chronic pelvic inflammatory disease, comprehensive treatment is preferred.As for the vaginal fissure you mentioned, it is recommended to undergo a thorough examination to check for any physiological abnormalities.