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Urology/paiful urination, painful sex, no infection.

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Question
I have been suffering with painful, burning urination, and painful intercourse and pelvic pain on and off for years, but it is getting progressively worse and im currently in a flare and am suffering so much. I've had countless urine tests which come back fine, swab tests for sti's even though ive been with my partner 8 years, all negative, and today I saw a gynaecologist. It was very painful for me, he did say I looked sore, and then did some swabs (any idea what for?). Well he could find nothing wrong, but has said I am constipated which is why my tummy hurts. I have been referred to a urologist but don't know when and this pain is ruining everything for me anyone it is putting a strain on my relationship, I am irritable with my children, and I dread going to the toilet nowadays, it is like having a urine infection constantly. I am in a big flare at the moment when I am not it always hurts to urinate to some degree but it is bearable I have learned to live with it, but its getting out of control. I also have fibromyalgia and other health problems. Thank you

Answer
Ayesha:

Pelvic pain can be difficult to diagnose.  Some possibilities include pelvic muscle dysfunction, interstitial cystitis, hyperoxaluria, and endometriosis.  Theoretically, a gynecologist or urogynecologist should be the experts to handle this for you, but you might want to try and find someone who specializes in pelvic pain disorders possibly at a tertiary care or university hospital where they see these types of problems more often.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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