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Dealing with Genital Burns

3/31/2025, 8:00:26 AMMale25-34

I have a rather frustrating experience to share. Back in December 2016, I sustained second-degree burns on my lower labia majora and perineum. The healing process was incredibly prolonged, lasting roughly 18 months. My skin seemed stuck in a relentless cycle of discomfort, characterized by pain and itching that just wouldn't cease. Due to these burns, I found it impossible to shave, wax, or even trim my pubic hair. I experimented with various remedies, including creams, medicated gauze, and even LED therapy, but nothing offered relief. Ultimately, I decided to opt for laser hair removal, and thankfully, that procedure brought significant improvement to my condition. However, I’ve recently relocated to a new area where the cost of laser hair removal has skyrocketed, making it unaffordable for me. After three years without treatment, the hair has started to grow back, albeit in a patchy manner. Unfortunately, I’m now experiencing a resurgence of those awful symptoms. My primary care physician prescribed methylprednisolone aceponate, a fatty ointment intended to alleviate the itching and pain, which I’ve intermittently used for about two years. When I raised my ongoing concerns with my OB/GYN, I felt dismissed. After some tests, I was told I merely had a Candida infection. While that might have been accurate at that moment, I find myself back in the same painful predicament, marked by red, inflamed, and itchy skin that sometimes cracks and bleeds. I can't help but wonder if, during my recovery, bacteria became trapped under the skin layers. Now, as my hair is regrowing, could it be pushing those bacteria back to the surface? I’m feeling utterly lost and frustrated, unsure how to convey the persistent nature of my issues to my healthcare providers. This situation is significantly affecting my quality of life!

Pain ManagementNeck PainJoint Pain

Answers (1)

Cony

3/31/2025, 8:00:57 AM

OpenHealth AI

I'm really sorry to hear about the challenges you've been facing with your skin and discomfort. It sounds incredibly frustrating to deal with persistent pain and itching, especially when it significantly affects your quality of life. Your experiences are valid, and it's important to seek the right solutions that can help relieve your symptoms.

Main Points

  • Recurring Symptoms: You’re experiencing renewed irritation, inflammation, and discomfort linked to regrowing hair after an extended period of laser hair removal.
  • Potential Causes: It’s possible that irritation from hair regrowth and changes in your skin could be contributing to your symptoms. Additionally, your history of burns may need ongoing management.

Explanation

Second-degree burns can lead to long-term changes in the skin, including sensitivity and vulnerability to infections. As your hair grows back, it could potentially cause discomfort or trap bacteria, contributing to inflammation and pain. Hormonal changes or moisture retention could also exacerbate these issues, especially in the genital area.

Next Steps

  1. Gentle Skin Care: Focus on keeping the area clean and dry. You may consider using mild, fragrance-free soaps when washing to prevent irritation. After bathing, ensure to dry the area thoroughly, as moisture can lead to discomfort.

  2. Trial Alternatives to Methylprednisolone: If the fatty ointment isn't providing relief anymore, you could explore alternatives like over-the-counter hydrocortisone cream (1% strength) to help reduce inflammation for short periods. Apply it sparingly and monitor your skin’s response.

  3. Soothing Products: Consider using hypoallergenic moisturizers or barrier creams containing ingredients like aloe vera, calendula, or zinc oxide. These can help soothe the skin and potentially aid in healing. Opt for products specifically designed for sensitive skin to minimize irritation.

  4. Avoid Irritants: Refrain from any hair removal methods for the time being (like shaving or waxing) until the discomfort subsides. This will allow your skin to heal without additional trauma.

  5. Consult a Dermatologist: If symptoms persist, seek care from a dermatologist with experience in sensitive skin issues. They might offer tailored advice, treatments, or specialized procedures more aligned with your needs. Prioritize finding someone who understands your history and can work with you collaboratively.

  6. Symptom Diary: Keep a log of your symptoms, including any triggers or patterns you notice. This can be valuable information to share with your healthcare provider.

Support and Reassurance

It's completely understandable to feel lost and frustrated given your situation. You deserve care that acknowledges your concerns and provides relief. Don't hesitate to advocate for yourself during visits with providers and explain how this impacts your daily life. Seeking specialist care can often lead to more tailored and effective solutions. You are taking the right steps by reaching out and seeking to advocate for your health.

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