Genitourinary Syndrome/Atrophic Vaginitis with Urethral caruncle
I am 54 and postmenopausal for 5 years. After a negative urinalysis and negative urine culture - I was instructed to stop the antibiotics I was given (as I was experiencing all the symptoms of a UTI) and had a follow-up appointment with a pelvic exam. At my annual exam (Dec 2023) my 5yr PAP was done and I was told vaginal atrophy was present at that time. Was told to use lubrication to help with the pain during sex but nothing further. Atrophy is something 50% of women experience. Kegels and/or Pelvic Floor therapy can’t slow it down or improve it. It’s just the lack of estrogen. However, I have now developed what is called an urethral caruncle. This is the culprit for my UTI symptoms and waking 5 times during the night to pee. It is 1cm x 2cm. It is a “benign vascular growth” and they usually don’t treat it unless symptomatic or it gets “large” and then it is surgically removed. I’m starting estrogen cream therapy. I have a follow-up appointment in 6 weeks and if I’ve not improved I’ll be referred to a urogynecologist. I do see vaginal atrophy discussed - but not this particular symptom of it. Has anyone else experienced this? I will set a reminder to post an update in 6 weeks - I’m hopefully optimistic as I’m told 90% experience a complete reversal.
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How are you doing? I’ve had significant hormonal imbalances throughout my life and first experienced vaginal atrophy in my 30’s. Estrogen cream, while messy to deal with, helped soften the skin, making it less likely to tear. Now I’m 4 years post menopause and unable to take HRT, except for Estradiol cream. Last week I developed my first caruncle and I’m now using the estradiol for that, too. A lack of estrogen causes each condition, but I’m not sure that having one increases your risk of also having the other.