vaginal atrophy burning / ecoli UTI won't go away!

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My story is long, so I am going to condense it as much as possible. I just turned 60 'years young'! I've reached out to a few boards for help/advice as I have suffered through self diagnosing my condition for about 5 months now - although I've been to urologists, gynecologist, urogynecologist, Nurse practioner specializing in Interstitial Cystitis, etc. 2 cystoscopies, 2 ER visits when burning started last November...I am circling back to my initial diagnosis back in November of 'severe' vaginal atropy.  After 5 months and 4 rounds of antibiotics for ecoli UTI after cultures, I 'still' have burning (frequency is better after antibiotics, but few days after done that comes back sometimes-oxybutnin did nothing)  I have been on premarin cream 3x week applied to urethra and 1/2 tube - small amount, inserted in vagina. All this time I thought burning was coming from urethra because pain was intense when tube was inserted into urethra for both cystoscopies.  But now I am thinking the burning is actually coming from my vagina and not urethra because I inserted an icecube into the vagina and then I couldn't feel the burning! Is it possible that the premarin cream 3x a week isn't enough and I need the Estrogen ring or patch? Could I be burning still from the atrophy (they said it was very bad) and could the ecoli be coming from my vagina into my urine and showing positive at culutre (never positive in lab, only  culture).  The ecoli infection is antibiotic resistant - tried nitrofutonin, macbroid and sulpa trim...something ??? Urologist now wants me to take a low dose antibiotic every day and I hate to do that if this is all because of my vaginal atrophy.  Sorry for rambling,just so frustrated!  Does anyone have anything to share/help if they have had a similar experience. Nothing is helping the burning, except I live with a cold pack 24/7 - even sleep with one!  Vagisil burned worse! Had all the tests for STD's yeast, etc. I've heard of vulvedonia (sp?)...not sure. Going back to Gynecologist on April 15th.  Thank you so much!!

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  • Posted

    Joanna46417. I share, almost exactly, all that you have written. I just got all my blood test results back today from my last terrible bout of symptoms as you describe. Everything is perfect. So no diabetes or anything else causing all the terrible burning, yeast infection, etc. my obgyn had me take oral HRT for two weeks then go back to Vagifem (which I've been on for a year except for these last two weeks.) I am finally feeling less pain. Vaginal atrophy is so severe that I have been at my wits end. My next step is perhaps being considered for the Mona Lisa laser process. I've read that those who have had that are finding relief. All we can do is keep trying things. One thing I have done is make small suppository type inserts from coconut oil which I form, wrap in plastic wrap and put in the frig or freezer. It gives temporary relief.
    • Posted

      Hi Pat,

      I am glad I am not alone with this vaginal atrophy!  I'm pretty sure my gyno will put me on oral HRT when she see's I am still having the burning - unless she says it is because of the ecoli UTI that won't go away. I would think she will think I am very red in that area on the outside so must be on the inside - suppose she will do an exam and take a look inside my vagina if she can tell anything. Being I am 60 years 'young' (hehe...I feel much younger ha!) I have read that it is not good for women my age to take oral estrogen.  She did mention when I saw her last in December, the 3 month estrogen ring or the tablets that I would insert into the vagina.  I do think the ecoli is coming from my vagina, so the urnine culture is contaiminated from ecoli in my vagina. (which is why the urologist wanted to cath my next specimen- but I will see what my gyno says and probably quit going to urologists!)

      I tried applying coconut oil to the outside and inside of vagina and it helped for a little bit, but not much and eventually it caused worse burning. I was probably using too much! I also tried inserting a vitamin E capsule into the vagina for several days in a row and that didn't help either.   As I mentioned, the little square ice cubes (in plastic and keep in freezer) have been a lifesaver for me!  I can walk around with one and have a normal life!  I just of course have to replace every hour more or less.  I sleep with an ice pack that last for several hours until the middle of the night.  Sometimes burning is worse then other days - but it's always there - the worse days are a week or so after I finish an antibiotic so I know it's the ecoli UTI back in full force again. There is a type of ecoli bacteria caused from chickens/poultry that is ressitant to most antibiotics - it is the EBSL bacteria - so I am going to have my gyno test my urine for that - or blood.  Maybe I have that too!

      I'm glad you have found some relief on HRT and the Vagifem (asing her about Vagifem too) and your homemade suppositories! smile We do get creative to get relief don't we?

      Never heard of the Mona Lisa laser process.  Is that for vaginal atropy/drynes?

      Yes, we do have to keep trying - I have tried everything OTC - except Monistat - I was tempted, but I have never ever had itching, only burning.  Have also tried many many vitamins...was just going to buy Primrose oil and Q10 tonite - read that somewhere.  In fact today, in fact yesterday and today, I even inserted wet chamoille tea packets vaginally and squeezed the tea from it but today it caused worse burning - so won't do that again!  Hot bath works great and my old faithful ice cube thingy's and I can lead a pretty normal life until this burning goes away.  Most days I'd give it a 4 on a burning pain scale, but sometimes when the UTI reaches a peak, it turns into more of 7+ rating.  Was a 10 back in November when I went to the ER for burning! owwiieeeee.  They sent me home withUTI antibiotics. Never had the burning that bad again thankfully!!  Must have just been a very very bad untreated UTI....

      Thanks again!  Appreciate your replying and your input and advice!

      Joanna

       

    • Posted

      Joanna Id try not to use anything internally until you see Dr ,just try and keep pain discomfort down with ice pack there ,don't think using products internally is always best way to go ,I've had this 10 yrs come this July ,yes long time, some have had for a lot longer . I've got a drs app next month ,female Dr have another stab at it .Sad reading the ladies stories here and other sites for these conditions . Wish I had the answers truly do . 😊
    • Posted

      Hi Pat,

      Somehow I am just seeing your post today!  If you are still following this...how do you make those coconut oil suppositories?  I have coconut oil!  I use these this water squares (for use in lunch boxes) that I found - I freeze a bunch of them and about every hour I put one in the buring area - ususally around urethra/vaginal area - at least I can walk around and go places.  My burning gets worse about a week after I am done with the antibiotic...as the ecoli never completely goes away - so my burning is probably most likely coming from that verses the vaginal atrophy - everything looks plumped up in that area because of the permarin cream 3x a week...so I think my main problem now is that for 5 months I have been dealing with an antibiotic resistant UTI that starts to go away after a course of antibiotics but never really does.  Back to the Urologist on Thursday for the next step...UGH.  Thank you for replying 12 days ago ha!

    • Posted

      I too had all your issues. Chronic Uti's for 3 years, visits to urologists, naturopaths, acupuncturists and on Premarin. Nothing worked. Atrophy causing all the issues. Mona Lisa treatment changed all that. 6 months uti free after 3 treatments. Changed my life. I paid 2000 out of pocket. Grateful every day

    • Posted

      I live in the US where do you get this treatment? Do most Drs know about it or where I can go? I live in Texas but I am willing at this point to go anywhere if it will give me relief as I have tried everything only to have it return. Has been going on 4 years I am living on antibiotics have become resistant to most. I am beyond desperate it is ruining my life.

      Thanks Rhonda

    • Posted

      Hi rhonda... I live is northern california and my gyn recommended a doctor...but I also looked up Mona Lisa Treatment and it should give a list in your area.  Your story was mine.  not covered by insurance but it should be..maybe because its a womens issue.   I paid 2000 for three treatments then you go back once a year at 500..  I have been on this site and tried everything recommended ... have a drawer full of products... nothing worked... let me know if you find someone....
    • Posted

      I'm SO sore and read your post about ice cubes. Stupid question - do you just wrap them in plastic bags (strong) and insert them in your vagina?  I have pain in my bottom as well. No UTI any more, scans showing up nothing, just real pain high up in my vagina. Nothing seems to provide relief.

  • Posted

    Hi Joanna and greetings from the Uk. I could have written your story. I am 60 later this year and I have an ecoli infection/atrophy/burning problem that won't go away. I've had all the usual tests and I've tried vagifem suppositories. I'm starting to think it's something I'm going to have to live with, good days and bad. Three years ago, I was like you and was constantly unwell with ecoli  uti, just couldn't get rid of it.I eventually took a daily low dose of nitrofurantoin at bedtime for about two months. It seemed to help. I can now go weeks without infection but sadly they do still happen from time to time. I take a daily dose of cranberry in the form of a capsule and I take a spoonful of D-mannose at bedtime. Cranberry is not ideal as its acidic and can cause bladder irritation but it does seem to help keep the infections at bay. I use Yes oil to soothe the area around my vagina. It's made inUk and is especially for that area. You can google. I try and keep my urine as alkaline as possible as apparently bacteria don't like an alkaline environment, half a teaspoon of bicarbonate of soda in water once every couple of days or lemon in water will help the alkalinity. Vagifem hasn't made any difference not sure if it's because I only use 10mg twice weekly but my doctor didn't think t was a good idea to use more.  I dont have a lot of confidence in doctors I'm afraid. I thought I'd sailed through menopause, this has come as  a nasty surprise. I also have a burning feeling and the constant feeling of needing to pass urine. My doc has just given me amitrytptiline which I'm yet to try. I guess it helps to know it's not an uncommon problem but it certainly does impact on your daily life. Best wishes. 
    • Posted

      Hi Julie,

      Oh my gosh...you are the first person on 2 support boards I've been on that seems to have experienced exactly what I am! (I just starting posting on this board and the IC Network, although interstitial cystitis I believe is now officially ruled out because I have none of the hallmark symptoms.  IC is a horribe painful chronic disease and some of the women on the board have been in so much pain 24/7 that they are suicidal.  I can hardly read those posts anymore so don't go there much - I'm )just thankful I don't appear to have IC).

      I don't think my ecoli infection ever went away in 5 months now so it doesn't leave and then re-occur, it just wont' leave at all!  I think when I am on antibiotics it takes the edge off, but days or a week when done with a round, the burning comes back, but the past month now the frequency is has been good! I am pretty positive its the aimtriptyline the Nurse practioner I saw put me on about 1.5 months ago.  Take just 10mg's - she up'd it to 20mg because last time I saw her March 15th, she didn't know my infection had not gone away (urine had to be cultured) so she thought up'ing the aimtriptyline to 20mg's would help the burning symptom I was still having.  She found out of course couple days later that I still have the infection, so back on 7 days 2x day nitrofurantinon I went.  Just took home dipstick test last night and leocytctes still positive (on low end of marking but clearly showing infection).  I have never had a positive nitrate dipstick test and urine is always only positive when it's cultured - never shows positive in the office lab test. 

      Some days the burning is worse then other days - wondering if maybe something I am eating is causing it to burn worse?  Not sure but starting to pay attention. I will try to drink lemon water every day - thanks for that tip!  

      While I was taking the nitrofurtonin for 7 days a week ago, I was also taking a tsp of D Mannose about every 2-3 hours, sometimes more for about 5 days.  That obviously didn't do anything, but maybe I should order more powder and just keep taking a tsp daily like you do. I also just bought some cranberry pills.  I'm just not confident anything is going to get rid of this! I was really sick back in November and December, almost flu like and so fatigued - but haven't had those yucky symptoms for the past few months now thankfully.

      I will continue on 10mg of aimtriptyline (I sleep great with it, but I have gained some weight like most women do which is a bummer, but I have to try to stay away from carbs and sweets that it makes you crave!) and also the D Mannose and cranberry pills like what you do!  I also take a lot of vitamins - echenecia,Vitamin D, Vitamin C, Garlic capsules and 2 different probiotics. 

      Sometimes when the burning feels vaginal, I think it's the atropy and other times I think it's my urethra - hard to tell because they are so close together sometimes.

      The Nurse practioner I saw the past 2 times...also put me on 100mg's daily nitrofurtonin, but she told me to stop after  I had just taken 2 pills 1.5 weeks ago when my culture still came back positive so she put me macrobid for the 7 days as I mentioned.  Since last November...I was on nitrofurntonin for a week, sulfa trimo (can't recall spelling, it was long) for just 3 days because I was feeling sick during that time, so stopped - after 1st cystoscopy Urologist diagnosed urethritis or urethral syndrome so he put me on doxcycylince for 14 days...then I've had 3 rounds now of nitrofurtoronin.  I just hate all these antibiotics and none of them have obviously worked.  I feel like I have an embedded bacteria/biofilms that the antibiotics can't get to.  

      I really don't even know what kind doctor to go to anymore!  I suppose a urogynecologist is the best - but hate to go to a male and the female I didn't care for at all unfortunately.  Now that I know I still of course have infection where the culture I know will come back positive, I know I have to make an appt with someone!  But they will just keep putting me on antibiotics and I feel like I need something else, but nothing natural is working.  I suppose you are right, this may be something I just have to live with, but it's scary to know I have an infection in me for so many months and I worry what it is doing to me internally.  And, the though of having a cold pack on me all day/night is depressing and so inconvenient...but I know many people have worse things....

      A year ago I had gastric issues - gurgling /queasy stomach and bowels were loose sometime and that whole department just was different.  I was miserable with it for 3 months - and Doctor just diagnosed gastroenteritis as an exclusion - blood work and urine all normal.  I keep thinking it was the ecoli in my intestines and then it went dormant for about 6 months and then travelled to my urethra when suddenly I woke up one day with just frequency, then the burning and then the vaginal atrophy and here I am today.  I feel pretty good, just have the mild to moderate irritation and/or burning and the positive cultured UTI's.   I probably won't try the vagifem if it didn't work for you, I am not too hopeful either.  I can order YES products on amazon, so I will get some oil - but my burning is always internal and not external at all.

      Yes, this antibiotic resistant UTI definitely impacts my daily life.  My family/friends are used to seeing me put my ice squares things in plastic in their freezers - and I"m not even embarrassed anymore!

      I'm so sorry if I've repeated things to you that I've already posted about! I'm just glad to find someone that has things so similar!  Do you not have any symptoms anymore?  Are your UTI's clear now?  Do you see a urologist, or gynecologist or urogynecologist? How long have you been dealing with this?  I'm at 5 months!  My only menopause bad symptoms were hot flashes of course, but then I had a horrible red burn skin condition that affected my neck and my ankles and right about ankles. It was weird!  Had to have ice packs on those areas off and on for a few months around the age of 52.  Last period was at 50 yrs. old.

      Thanks so much for replying Julie! Sorry for all the questions!

      Joanna

    • Posted

      everything you say makes sense.

      these specialists dont seem to diagnose anything.

      so many people say to me not to scan dr google.

      i envy them having so much confidence in the medical proffession.

      i am sure none of them are in pain.

      can i ask you what are your symptoms of ecoli and have you a theory how you got it.

      may i offer my experience of amitryptiline.

      tread softly and build up if you must.

      i got twitchy legs and was sleeping a lot.

  • Posted

    Hello again Joanna, 

    my problems started 6 years ago, I was coping with my late husbands terminal illness so I thought the sudden onset of recurrent Utis was stress related. There were long gaps between infections at that time then in 2012 I got an ecoli infection that just would not clear up. It lasted at least 5 months, occasionally dip stick does show prescence of nitrites but more often just leukocytes. I saw a urologist who said that the bacteria had formed a biofilm and he gave me a two week course of ciprofloxacin which got rid of the infection for a short while. I hesitated to take the Cipro  because it can have nasty side effects but fortunately I didn't suffer any if them. Since then I have had several infections. Last year I was infection free for six months but I've had three infections thus year already. Like you I wonder who to see next!! They all seem to play a guessing game. You could try the vagifem, some have had good results. I want to see a specialist to see if I can try increasing the dosage of the vagifem. My doctor says I can't but I'm on a forum where many women report using vagifem in greater strengths so I think it's time to seek out more specialist advice again. I am also going to look into getting a private urine culture done because D mannose is supposed to get rid of ecoli bacteria so I ask myself why it doesn't always get rid of my infections. Could there be another bacteria lurking in the background? I take supplements similar to yourself in an attempt to keep my gut healthy after all the antibiotics and to try and improve my immune system. Incidentally, trimethoprim also makes me very ill. I refuse to take it now. It's a darn shame for us all. I recently remarried and it really impacts on our life together. I can't go anywhere without taking a supply of antibiotics. Did I tell you I also have a burning feeling, not as severe as yourself, I don't need the ice cubes. Incidentally, you can use yes internally, it's safe and soothing. I hope you get some good advice at your appointment on the 15thApril. It makes such a difference who you see. The last urologist I saw was terrible, he just kept repeating that he sees women like me all the time. No help at all!!

    • Posted

      Hi Julie, me again!  

      First, I'm so sorry for the loss of your husband 6 years ago. That must have been so heartbreaking.  Nice to hear you are remarried and I hope you are happy and that most days you are not in pain from UTI"s!

      The more I hear from you the more you have gone through exactly what I have gone through - it's so refreshing to know I am not alone in this, but holy cow I hope I am not dealing with this for years and that soon this ecoli will leave my body once and for all!

      The little ice pack squares I use I probably wouldn't need all the time, as sometimes I don't have burning,just irritation.  But I am a baby about this now, so I figure why deal with any discomfort when I can put this cold ice square there!  But there are times/days here and there where it is actually burning and I do need them.  Haven't been on any antibiotics for a week now so I'm just waiting for the burning to come back badly - but so far, just irritation and no other symptoms.

      I haven't been able to find on the internet if ecoli can be just in the vagina or if it is just in the urinary tract.  If it can be just in the vagina, I'm wondering if the vaginal atrophy caused the UTI - as it may have contaminated my urine during collection of my urine specimen. The Nurse practioner wants me to go in for a clean catch catherization specimen and haven't decided if I'm going to do that or go the gynecologist April 15th or find a urogynocologist.  I just don't want a male doctor examing me donw there!  It was embarrassing enough having male urologists for both my cystoscopies!  I think though I'm going to buck it up and find a male urogynecologist because I can't find another female one here in the Minneapolis area of Minnesota. It makes sense to go to someone that knows both about the urinary tract and a woman's vaginal issues - being I have the atrophy and a urinary problem.  Love the aimtriptyline 10mg's though...my frequency is better then it has been since menopause started 10 years ago (except when UTI is peaking as I already mentioned).  It must have calmed those nerves down in my urethra, which I think is one of the things it's supposed to do and then that helps with frequency apparently.Is your frequency OK? Did antibiotics clear up the 3 infections you've had this year? Was the infection discovered in cultures but not in the office.  I think there is some connection to mine just showing up in cultures and always just the leoycytes (I can never spell that ha!).  I probably have biofilms too like you.  Have you heard of the place in the U.S. called Pathogenius? Thats the lab that many women with interstitial cystitis are sending their urine to and results are identifiying all kinds of weird bacteria that doesn't show up in standard urine or blood tests. Although they are sending it in for bladder pain, etc. and I don't think most even have UTI's.

      I heard too that D Mannose is supposed to clear up ecoli infections.  Now may be a good time for me to try the hourly dose for a few days while I am not on any antibiotics.  I'm not even sure I will ever take an antibiotic again - unless the next doctor I see will actually listen to me and explain that yes I could very well have an antibiotic resistant ecoli UTI!  Has a doctor ever recommended you go into the hospital and have an antibiotic dripped into your blood stream through an IV? I can't imagine that would even work.

      It makes sense for you and myself that there is definitely something else 'lurking' in the backround, so it very well could be another bacteria that isn't showing up, which would change the course of the antibiotic because we would need 2 at one time from what I've read.  Also have you heard of an embedded bacteria?  

      It sounds like in between your UTI's you feel pretty good? I'm sorry to be personal, you dont have to answer, but with the vagifem, are you still experiencing vaginal dryness for intercourse to be painful?  It's been SO long for my husband and I...years actually - and we'd both like to try to get our intimacy back.  I guess I won't know unless we try if the premarin cream 3x week for 4 months now has helped - it certainly looks healthier down there from the outside ha!

      Does this site let people do private messages or where we are able to private message each other?  Not sure how this site works! Can you tell me what other site you go on?  Or maybe you are not able to do that on here without it being deleted or you post being deleted.

      Sorry to keep emailing - I just have things to to keep saying and asking questions, but you can stop if you want!  Thank you for all of your info and help and I hope you stay UTI free and that mine nasty one will go away some day soon! 

      Have a great evening!

      Joanna

    • Posted

      Hi Joanna,

      The other site I go on is menopause matters. It has a forum and also general information. I believe atrophy can affect the bladder. I think the infection comes from the bladder and it's not in the vagina.

      I do have frequency issues which I'm hoping the amitryptiline will help.

      The last three infections happened whilst I was away from home or at the weekend. I have test strips at home which showed leucocytes and as I was feeling really ill I took antibiotics which my urologist had given me a supply of. I hate taking so many antibiotics. I'm going to look into the Mona Lisa touch treatment that Nancy recommended. I have in the past had ecoli show up in lab cultures. I'm not sure what you mean when you say nothing shows up in tests done at the office. My surgery doesn't do that. All samples go to the lab.

      Intimacy between my husband is good although sadly it does often trigger a uti which I think is caused by embedded bacteria being disturbed. That's what I read anyway. We are scrupulously careful so I know they are not new infections. The vagifem does help with intimacy and we also use lots of yes oil and water based at the same time. It makes things very comfortable.

      It is scary and it does cause me an anxiety problem but I guess if there was an easy solution we wouldn't be on these pages looking for an answer.

      For the moment I'm infection free. I'm going to look into the Mona Lisa therapy and I'll try and get a referral to a urogynea who knows about post menopausal issues.

      best wishes, Julie

    • Posted

      joanna, someone may have answered you by now, but if not you can private message. click on the envelope looking icon under the person't name. You can more freely use product names or send links if you want to. Otherwise the monitor interferes and blocks the message.

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