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[Daisydot]

F your unhappy ask for an ultrasound scan and that will tell you and gp exactly how much urine is being left behind in bladder,they scan you on a full bladder then you empty then they scan you again and they can see exactly what's left and this can be a cause of uti,s.i had my dnd privately same day results in hand and copied to gp for £80 no referral needed it's the baby scan places who do them,they are also contracted out to nhs.

[Taz2]

I am not normally an anxious person but having a uti makes me anxious because I can't relax. I am not sure that my GP will prescribe those medications but I will ask. I feel it is the nerve endings at the end of the urethra that are constantly firing but obviously something is happening in the bladder too as it is not emptying properly. I just wish I could forget about it for a while it was so nice to have half a day without it........

Maybe you are still suffering from the effects of the other medication you were taking? Do you mind me asking what you have been given instead?

Taz x 

[CLKD]

Good idea Daisydot.  Peace of mind!

[sidse]

I am tapering off the quetiapine and have started taking fluoxetine. I am wondering if the AZO has irritated my urethra. It was great when my pain and paining were at their worst.
I am going to drink lots today to see if I can make the bladder as full as possible and try to hold off emptying to see if a very full bladder affects the flow. I will certainly think about asking for an ultrasound scan. Would there be a chance of getting one on the NHS?

[Daisydot]

It's usually one of the first investigations a gp would refer you for so yes it can be done on the nhs.

[sidse]

I have just read most of 'the burning club' thread and now understand why all you Ladies have so much knowledge and understanding.
It is very inspiring how many people are trying to work this out for themselves often without support from their doctors.
I am still struggling with my symptoms and am trying to stay calm(very difficult). I can cope during the day but the worst is at night when it is difficult to get settled and sleep.

[CLKD]

Maybe take a good pain relief tablet 30 mins. B4 bed?  It will relax you if nothing else ;-)

[Dancinggirl]

Have you tried the Nytol yet sidsie?  DG x

[sidse]

No, haven't tried the Nytol yet- bit worried about taking another antihistamine  as I am taking a non drowsy one during the day. I don't find that normal pain relief helps sadly, I suppose that is why amitriptyline works as it targets nerve pain. I just wish my brain didn't have to focus on my nether regions, even when the burning isn't bad I still have twinges and discomfort. Just back from my pharmacy and I have a new batch of vagifem and they have given me more fosfomycin!!! They haven't even told me the result of the lab test so I am extremely surprised that they have given me them again.   

[CLKD]

Vagifem should work, if not ask for Ovestin and compare?

[sidse]

My burning is so bad today. Up until now, I would say that it was easing off by 5% each day with one day of total relief. I am really not sure what to do and am very confused as to what this is. I have really upped the vagifem so if it is a VA issue, I would have expected a slow improvement( I know that it can take months). I am truly at my wits end, not sleeping which of course doesn't help my body to heal. Apologies for the constant posting

[CLKD]

It shouldn't take months if it is vaginal atrophy.  The preparations usually begin easing symptoms within a couple of weeks ...... for me it was like razor blades up there  .

Did U get any insight from the 'burning club' thread?

[Dancinggirl]

sidse - utrogenital atrophy an take at least 3 months before real improvement is seen.
Are you doing the bicarb in water thing?  Are you drinking 1.5 litres of water each day? Do you wear loose clothes?  Do you go out for brisk walks to get the circulation going?
Have you done the 2 week load of Vagifem?  If so, are you now using it every 3 days?  Do you use the vaginal moisturiser? Are you getting any vaginal itching or soreness?
Try using some kitchen roll wetted with cold water and holding that against your intimate area - can be very soothing.

Try not taking the antihistamine during the day but take Nytol before bed.  DG x

[Dancinggirl]

Hi again sides
Here is a section from an article about atrophy written by Dr Heather Currie in the MM magazine that may be of interest to you:
To treat the underlying vaginal changes due to the lack of estrogen, the treatment that is most likely to revert the changes and restore the tissues to their former health is estrogen. If just treating the vagina and/or bladder symptoms of the menopause, then very low dose vaginal estrogen in the form of a very small tablet inserted with an applicator, vaginal cream which can also be applied to the outer area (the vulva), a pessary, or a vaginal ring which is replaced every 3 months can be used. These estrogen preparations are very effective and are not associated with risks which should be considered when using Hormone Replacement Therapy since they give a very low dose of estrogen which is concentrated in the vagina and bladder. Any vaginal estrogen preparation should be used for at least 3 months before the expected benefit will be achieved and should be continued long-term, perhaps even indefinitely. Many women are only given a short course of treatment and are disappointed when the symptoms may not be fully treated, or may return when treatment is stopped. We now recognise that these changes persist and gradually worsen without treatment and therefore treatment should be continued; menopausal vaginal changes are not like menopausal flushes and sweats which will reduce or even stop in most women at some stage.

[sidse]

Thanks that is very clear. Three months!!! I will try to be patient. I was at the back of the queue when they handed out stoicism.