Vulvodynia

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    • #1415
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      Vulvodynia like symptoms with itching, burning, formication on upper arms and legs

      Hello, any suggestion will be very much appreciated! I am an acupuncturist interested in functional medicine. It is about one of my clients who needs help desperately, she is getting married very shortly. She doesn’t have vulvodynia (Q tip test was negative).

      27yo, very healthy all her life. No history of any health or digestive issues till this May.

      At the beginning there were some foul smell and brown discharge. Prescribed fluconazole, diagnosed as mild thrush, prescribed intraconozole and canestan HC cream (not all at the same time. She saw many different doctors). Virginal pain was not there first. Suddenly it started during her exercise and doctor at A&E suspected pelvic inflammation – prescribed two sets of antibiotics. Nothing helped. Constantly uncomfortable now and the tingling / burning sensation is not just in vaginal area but also on her legs and upper arms.

      She developed digestive symptoms, bloating with severe pain. Only the time she gets relieved from viginal itchness + burning is while she is in bed lying and during her menstruation. Tingling sensation on legs and arms don’t stop during menstruation, sometimes it feels like bugs crawling. No discomfort while urinating but was prescribed Co-amoxiclav 500mg/125mg. STD tests all negative. Though not tested was given the prescription for pin warms. Upper legs and arms do not have any signs of skin hives, redness or etc. She found a small bulls eye like insect bites on her thigh – mid June– it was a round defined crusty ring, size of a 1p coin, it wasn’t painful or itchy and went away shortly after. Blood test found low iron and slightly low Vit D prescribed ferrous sulphate for low iron.

      Stool test for Crohn’s – result clear. She travelled to India in Feb (getting married there in Nov). Things started suddenly in May and progressing. I was suspecting parasites and thinking to suggest some stool test with parasitology.

      Posted By Chiho Kincaid 23/10/17

       

       

       

    • #1416
      Christine Bailey
      Moderator

      Dear Chiho,

      Many thanks for your question regarding your client with digestive symptoms, vagina pain and itching sensations / burning sensations.  You mentioned that the doctors thought it may be pelvic inflammation (PID) and / or thrush infection. Several different types of bacteria can cause PID, including the same bacteria that cause the sexually transmitted infections (STIs) gonorrhea and chlamydia. What commonly occurs is that bacteria first enter the vagina and cause an infection. As time passes, this infection can move into the pelvic organs and symptoms can be more diverse.

      Certainly, her symptoms are indicative of a vaginal yeast infection, also known as candidiasis. A healthy vagina has bacteria and some yeast cells. But when the balance of bacteria and yeast changes, the yeast cells can multiply. This causes intense itching, swelling, and irritation. Treating a vaginal yeast infection can relieve symptoms within a few days. In more severe cases, it may take up to two weeks. Reoccurrence is also common especially if there is a weakened immune response, gut dysbiosis which may be relevant to your client. Ongoing courses of antibiotics, a high carbohydrate diet are other contributing factors.

      There is strong evidence that the beneficial bacteria, L. rhamnosus and L. reuteri provide significant safeguards against vaginal disorders.

      Reid G, Charbonneau D, Erb J, et al. Oral use of Lactobacillus rhamnosus GR-1 and L. fermentum RC-14 significantly alters vaginal flora: randomized, placebo-controlled trial in 64 healthy women. FEMS Immunol Med Microbiol. 2003 Mar 20;35(2):131-4. http://tinyurl.com/y92cz2rp

       

      In view of her digestive symptoms I would certainly consider a comprehensive stool test with parasitology which will also include candida testing as well.

      Your client may also wish to consider topical / vaginal natural treatments in the meantime – applying a tampon soaked in natural yogurt with added probiotic powder can be helpful, using coconut oil and taking garlic may all be helpful. Keeping carbohydrates low in the diet and if bloating is very significant adopting a low FODMAP diet may also be helpful while you wait for the results to come back. Wear natural fibres such as cotton, linen, or silk.  Avoid wearing tight pants, pantyhose, tights, or leggings, using feminine deodorant or scented tampons or pads, sitting around in wet clothing, especially bathing suits and sitting in hot tubs or taking frequent hot tub baths.

      You mentioned as well that iron levels are low – a liquid iron supplement such as SPATONE may be helpful together with a B vitamin formula. Supporting the innate immune system with sufficient vitamin A and D and Saccharomyces boulardii and colostrum would be recommended.

      SUGGESTED SUPPLEMENTS

      The following supplements are suggested for you to consider in light of your relevant expertise and intimate understanding of the needs of your client or patient. They may be used in isolation or as part of a multi supplement strategy, but at all times the consideration of their use should be tied into the specific needs of the individual you are responsible for.

      Innate immune

      Saccharomyces boulardii (ARG) – take 1 twice daily – http://tinyurl.com/z27sdwn

      Vitamin D3 Complete (ARG) – take 1 daily – http://tinyurl.com/jqx3ttt

      Latoferrin with colostrum (ARG) – take 2 twice daily – http://tinyurl.com/jsq55kx

      Probiotic support

      Lactobacillus Plantarum, Rhamnosus, Salivarius (ARG) – take 1 twice daily. Consider emptying the capsules as well and mixing with plain yogurt and soaking a tampon before insertion – http://tinyurl.com/z9g65f2

      Anti-microbial

      Garlic Plus (BRC) – take 2 tablets at each meal

      Caprin (BRC) – take 2 with each meal

      B vitamin formula

      Bio-GGG-B Special B Complex (BRC) – take 2 tablets with each meal

      I hope this helps with your client

      Christine

       

       

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