Burn after peeing resolved - maybe my story helps someone.
I read several stories on this sub regarding burning located in vagina after peeing, desperately looking for help.
I could relate to all tests results mentioned: No problems in the urinary system (perfect pee results, perfect ultrasound, perfect urethra swab). No vaginal infections. Tense pelvis muscles, but physiotherapy didn’t help at all...
I could relate to all advice given in the comments - drinking a lot, peeing in the morning under running warm water. I think that advice saved my life as it helped the morning torture a bit but overall I lived in horrible pain for 12 years.
One thing that did show in vaginal swabs: a bacteria that was overgrown but DOZENS of doctors I saw about my burning said it’s not something you treat - Gardnerella Vaginalis (some labs won’t even show it in a result, treating it like a part of the normal flora).
Only my new dermatologist last year got interested by this and gave me a metronidazole cream to treat the burning area directly (metronidazole kills gardnerella) - it helped! But literally the day after I stopped using it, the burn was back and you cannot use that creme forever.
FINALLY 6 months ago I took Metronidazole 3 times a day for 2 weeks for something entirely else - and… I’ve been burn-free ever since.
This has been such a relief I happy cry a little every morning when I pee pain-free.
I know that burn might have LOTS of different reasons - but maybe my story helps someone find the right treatment for them. Fingers crossed.