“Pain while urinating and during sex?”

You have 3 main issues that are all related. As we age, there is a decrease in the hormones and imbalance because of the reduced ovarian function leading to an imbalance in estrogen, progesterone, and testosterone. This would lead to vaginal atrophy and the areas around it becomes if you will be dehydrated, and the urethra becomes shorted and exposed to picking bacteria from the vaginal area. My advice is to go to a doctor and get examined and then correct the estrogen and you will start to feel a lot better. I am not sure about the cervical cancer concern without a history of cervical cancer, but this also should be covered with the examination.

Per your narrative it is unlikely to have implications of cerv ca. That said, staying current with your routine scheduled cerv ca screen aka pap test with your physician could not be over emphasized

Because I don’t know the details of your demographics I must answer relatively non-specifically. My advice is to skip the home UTI or vaginal infection tests you can get at a drug store and instead, get right to an OBGYN (or even an urgent care if that’s not possible). You need three basic tests, a urinalysis or UA, a urine culture with sensitivities, and a Pap smear with high risk HPV co-testing.
Please don’t delay finding care, if you do have a UTI, it could ascend into the upper urinary tract and cause an infection of the kidneys also known as Pyelonephritis.

Dr. von

To rule out cervical cancer, you need a Pap smear and at the same time you can get a urine culture. That will address those issues.

Dr. Niko Lailas