pain after sex?

Helluuoo

I'm 21 years old, have had a shitty vagina since I was about 17 (3 months after having sex for the first time). In September of this year (after seeking help cause my pain was getting annoyingly worse) a gynecologist decided to try the laser treatment. I stupidly agreed, and have been in way worse pain ever since. I went back to see him at an earlier follow up appointment cause I was still in so much pain, but it was terrible. This guy had already decided what he was going to say to me before I walked in the door. He told me that my increased pain was due to my increased anxiety (mm..) and I should see a psychosexual counselor. Now, I'm not at all adverse to things like that and I think that psychosexual counseling definitely has a place in treatment... but... not for me I don't think, and I'll explain why in a sec.

Basically what's been happening is now whenever I try to have sex, first my skin tears (I'm assuming this, cause there's always blood, in varying amounts afterwards) (smear tests are up to date and fine, and i'm pretty sure the blood is coming from the vulval skin) and I have a new symptom that I've never really dealt with before: I can have sex (with the assistance of lidocaine) and it's all fine and dandy (sore, but I want to, so I do) and until about 10-15 minutes after wards where I am crippled, completely with pain to such a degree I've never felt. I can't move, I can't think, I feel nauseous, the pain throbs and I can feel my pulse down there (like when you burn your finger or something, and it pulses with pain) and for a couple days I cringe every time I sit down, until it goes back to normal.THis is not normal for me. Usually I end up with burning sensation that is very uncomfortable and sore, but I've always been able to cope. Not now.

When I told this gynaecologist that I think its to do with the laser he said 'there's no way the laser would have anything to do with it, it would have all healed by now so its due to your anxiety'
...some how I don't think so. I've done a pretty good job of dealing with my anxiety surrounding this stupid condition and although it knocked me off my confidence for a while when I was first diagnosed, I since became comfortable in my own skin again and felt sexy and whatnot. I've been in two lovely relationships since I was diagnosed (still in the second one) and sex,although infrequent as it has been, hasn't presented a huge a problem for me - which is why I'm not so sure if my problem is 'psychosexual'.

my hope is that with lots of patience and more time (cause it was only in September) this extreme pain after wards will go away... does anybody else get this?


sorry bout my rant. Am in a bad mood and don't know what to do next.


I'm not really a huge fan of wanting to try things like ami or gabapentin cause I had a horrible time on pregabalin. (and it didn't make a difference anyway)

I can't speak from experience because I've never got to the stage where sex is possible but I think if you're experiencing tears now it might be an idea to leave it for a while and let the skin settle down a bit before you try again, pain like that after sex isn't going to help you at all. There are bits of information online about how the laser treatment can make things worse, I think there's some on Dr Glazer's site so it does sound like it was that that caused this new problem. Give it a bit longer and see what happens is my advice, if it doesn't help change doctors if that one isn't being helpful.