So to start she doesnt have a yeast infection, she was tested two days ago at a clinic,

Her and i have had a really healthy sex life for the first 4-5 months of our relationship however the last 4 months there has been some problems. She has been getting a cut on the entrance of her vagina, and when the lube gets on the cut it burns terribly. She had a yeast infection months ago, but that was treated with antibiotics, then she got a UTI and we thought she had an infection for the last couple weeks.

She has been treating with monistat and uti cranberry pills etc. and the doctors ran an ultrasound and all is fine

HOWEVER, when she went for the second yeast infection test the practitioner told her that the pelvic floor was probably causing the issue as the muscle was not relaxing during the exam. There is also a deep bruising pain during sex when i go too deep (possibly cervix?) that all started around the same time 4 months ago. This had never been a problem before, and maybe was triggered by the rough sex, but I just want to know if anyone else has had a similar experience.

This is getting debilitating for her mentally, she cries because she wants to, but her body is in too much pain, this was never a problem with her previous partners and she is at a loss for what to do.

# Does anyone here have experience with a pelvic floor issue that causes a cutting injury in the same place every time? and how did you treat it?

EDIT:[https://dermnetnz.org/topics/recurrent-fissuring-of-posterior-fourchette](https://dermnetnz.org/topics/recurrent-fissuring-of-posterior-fourchette)

This article about reccurent fissuring seems to describe her symptoms perfectly, it cites both fungal infection and pelvic floor as treatments.

2 comments
  1. If she has a UTI, she should be on antibiotics.

    Also, you may be too big or rough for her or she might have a low cervix.

    Stop having PIV for a while and do hand and mouth stuff (when she’s healed)

  2. Your girlfriend may benefit from pelvic floor physical therapy.

    The pelvic floor muscles are responsible for a lot of the upkeep of the bladder and reproductive organs (the same muscles that hep us stop the flow of urine and but also control other things). A hypertonic pelvic floor is one that clenches and cannot easily relax. In this state, sex can be painful and a person may even experience the same pain and urgency/frequency of urination typically associated with a UTI without actually having a urinary infection. Of course, it’s super important to rule out a UTI since untreated infections can be really dangerous—I’m not suggesting anyone skip testing. But your girlfriend’s provider has mentioned pelvic floor dysfunction so here we are.

    Pelvic floor dysfunction can be brought on by a number of things—stress/anxiety, a job that requires long periods of sitting and delayed bladder voiding (like office work, call center work, teaching, working in a daycare—anywhere that needs constant attention that would make someone put off going to the bathroom), certain medications like SSRIs can affect bladder muscles, hydration levels, low back injury, recent surgery, shoes or clothing that restrict or modify movement, sometimes the contributing factors sound absurd and they are varied. This is by no means an exhaustive list.

    But pelvic floor dysfunction (the muscles not behaving in a helpful way) can be addressed. There are lots of pelvic floor exercises and stretched online—not just kegels. Kegels are more about clenching. Your girlfriend might benefit from exercises that focus on *unclenching*. It’s important to know that finding and identifying these muscles takes focus and practice and is initially frustrating. At first, trying to find the muscle set and make it relax feels like you might as well be trying to learn how to whistle an opera with your belly button—it feels that absurd and impossible. So working with a pelvic PT practitioner would be best, but again there are lots of free resources online as well.

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