I posted last June about a horrible experience with a gynecologist (Dr. Davila) in central Florida. I had gone for my annual pap, to discuss long-term contraception, and to learn more about pain I had been having during sex. The doctor made me feel very uncomfortable and talked-down-to during the entire appointment.
I had been having trouble with the various forms of hormonal birth control I had been on. I didn’t know what it was at the time, but something about the Nuva Ring caused extreme pain during and after intercourse. I didn’t put two-and-two together because the pain didn’t start until I had been on it a few months. After stopping the Nuva Ring because of cost, the pain stopped. Another doctor prescribed Sprintec, an off-brand hbc pill, a few months later. The pain started again, starting out not so bad, but after a few months, I couldn’t even have sex, it hurt so badly. I drew a conclusion that the hormones were causing the pain, and decided to stop taking them until I could find a doctor to talk to. In the meantime, I researched some lower-hormone options, and grew very interested in the Merina IUD. I then went to visit Dr. Davila to discuss all of the above.
As soon as he entered the room, he told me I could not get an IUD because I was a teenager (19), and of course, because I was a teenager, I would sleep around, get an STD, and render myself sterile. He didn’t offer any alternatives, but simply renewed my birth control prescription, denying any relationship between hormones and pain during sex.
He diagnosed me with “vestibular adentitis”, an outdated name for vestibulitis, and prescribed lidocaine. I totally understand that that’s a valid prescription for vestibulitis, but I’m not a huge fan of treating symptoms and not the cause, so I never filled the scrip. I left his office in tears because I felt so mistreated.
So, not wanting to go through the experience again, I went back onto my old birth control, and basically have been dealing with painful sex ever since. Then, enter Dr. Doyle, the most amazing gyno on the west coast of Florida! My fiancé finally convinced me to make an appointment with a different, female, doctor. We went in there wanting to discuss the vestibulitis, most importantly, and also discuss contreceptives that might make things better, particularly IUDs. She was incredible. She listened very carefully to all of the experiences over the past few years, and said she’d work with me to find something that worked. She explained that the vestibulitis could be a result of lowered estrogen levels available to my body, and prescribed an estrogen cream that could be applied to irritated areas, and gave me three free samples.
We then discussed possible birth control methods. Obviously, the Nuva Ring was out, so what was left? She suggested the Depo shot, or a high-estrogen BC pill, but also said that the IUD could work as well, but there are some inherent risks involved. While the chances are super-duper low, PID is scaryyyy. She said that was an option, but if I did want to do it, I should really think about it.
We eventually decided to go with the high estrogen pill, to see if that helps. My number-one concern right now is making this darn vestibulitis go away. I miss sex that doesn’t make me hurt.
So a few questions: Have any of you used estrogen cream or a higher estrogen pill to treat vestibulitis? What were the results?
Any anecdotal or statistical info about IUDs in nulliparous women? What do you think about IUDs in general?