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View Full Version : Hormones and urethra/birth control



PFDorIC
11-15-2011, 03:34 AM
Does anyone feel they're urethral pain is related to hormones--specifically, lack of estrogen and testosterone? I've been reading Dr. Andrew Goldstein's book, When Sex Hurts, and he feels strongly that a lot of women are suffering a sort of birth control-induced atrophy. Testosterone--which he believes is important in urethral pain--is down to nothing on birth control, and estrogen is lower than it should be (especially on most modern formulations, like Loestrin, where there is very little estrogen).

For me, I only have urethral burning during sex--sort of a question of friction--and the burning started when I first went on birth control (though also had other things that might have set it off, like getting a cystoscopy, having hemorrhoid surgery, which might have set off nerves).

I am nervous, though, about going off birth control, as before I went on it, I had horrible cramping spasms the week before my period--mostly in my bladder, but that might be do to endometriosis.

Has anyone else been successful using hormonal modulations to control urethral burning? Estrace definitely helps me to a small degree, but not enough, either because the formulation isn't high enough, because low testosterone is still a factor, or because hormones have nothing much to do with it!

Thanks!

Kitty920
01-12-2012, 01:40 PM
Thank you for posting this question...

I have only urethral discomfort and it has really ramped up in terms of pain in the last 12 months as my periods have become irregular due to perimenopause. I don't know what else I can connect it to. When I introduced this connection to my very knowledgable gyn, he said there is no relationship. The months I have my period my pain levels are lower. I have not had my period in the last couple of months and my pain is higher than ever..

Any advice on this question would be appreciated.

Nancy