I have been dealing with a very personal and very painful problem for over a year now--vaginal tearing. It occurs only with penetration (at the bottom of the vaginal opening where the two folds meet, otherwise known as "6 o'clock"), both from intercourse and medical exams. I've tried using lots of lubrication, endless foreplay, relaxation techniques... nothing helps. I went to see my regular gynecologist a month or so after it first happened because it didn't resolve itself. I was prescribed a steroid cream for a month with no change, and then a round of estrogen cream for two months with no change. At that point I was referred to a vulvovaginal specialist who seemed puzzled as well, which became quite disconcerning for me. I was given a prescription for antifungal medication (even though I did not present any yeast infection symptoms) as a precaution and it, too, offered no relief.

I have been tested for nearly every STI, yeast, and bacterial problem with all negative results (thankfully). My worst fear was herpes because that can cause skin irritation and tearing, but both a swab test and two blood tests ruled that out (as did the fact that my problem does not occcur spontaneously, but only from physical manipulation of the skin via sex or examination). Having seen two doctors now who both looked at me with completely confused expressions has made me frustrated and discouraged. My partner has been fully supportive but it has ruined a once-enjoyable portion of our relationship and I feel less attractive and feminine because of it. They said the next option would be a biopsy of the sensitive area but it would be purely investigative as I don't present any skin discoloration or growths, so it could be for absolutely nothing and the "cross my fingers and hope for the best" strategy is wearing thin on my patience.

I am writing because I have seen other forums and boards with women who are facing similar issues with no relief. If anything, it helps to vent and I think there needs to be more done to figure out what this problem is. It has worn me down for far too long and if anyone has any advice, it would be truly appreciated. I would like to start the new year with an optimism and courage. Thank you, in advance.