[18F] Experiencing frequent urination and vaginal discharge

Patient Description

An 18-year-old female has been experiencing frequent urination, approximately once every hour, and a small amount of vaginal discharge for the past two weeks. The discharge is described as brown with a very tiny hint of pink, coinciding with the patient's ovulation period. The patient has had a new sexual partner recently and did not use protection. No other symptoms such as fever, chills, pain or burning sensation during urination, lower abdominal or back pain, nausea, vomiting, pelvic pain, or unusual vaginal odor have been reported. The patient's medical history is non-contributory with no known allergies or adverse reactions to medications. She is currently taking Vitamin B6, magnesium, and a calcium supplement (1200 mg, started about 2 months ago) and is not on any form of birth control or hormonal therapy. No prescription medications or over-the-counter drugs are being taken regularly, other than the mentioned supplements.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): This is an infection that affects any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs are more common in women, and sexual intercourse can lead to UTIs. However, you have not reported any pain or burning sensation during urination, which are common symptoms of a UTI.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Sexually Transmitted Infection (STI): Some STIs can cause increased urination and vaginal discharge. However, you have not reported any pain, itching, or unusual odor, which often accompany STIs.

    • Treatment depends on the specific STI, but often involves antibiotics or antiviral medications.
  • Pregnancy: Frequent urination can be an early sign of pregnancy. The timing of your last period and the unprotected sexual activity could potentially indicate a pregnancy. The vaginal discharge could potentially be implantation bleeding, which sometimes occurs when a fertilized egg attaches to the lining of the uterus.

    • Pregnancy can be confirmed with a home pregnancy test or blood test at a doctor's office.

What you can do

  1. Take a home pregnancy test: This can help determine if you are pregnant. Follow the instructions on the package for the most accurate results.
  2. See a doctor: If your symptoms persist or worsen, you should see a doctor. They can perform tests to determine if you have a UTI, STI, or other condition.
  3. Practice safe sex: Using condoms can help prevent STIs and unwanted pregnancies.

What you should look out for

If you experience any of the following symptoms, you should seek medical attention immediately:

  • Severe abdominal pain
  • Fever or chills
  • Pain or burning during urination
  • Blood in your urine
  • Unusual vaginal discharge (change in color, smell, or consistency)
  • Severe vomiting or nausea

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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10 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


Can a sexually transmitted infection (STI) cause frequent urination and vaginal discharge?

Yes, some STIs can cause symptoms like frequent urination and vaginal discharge. However, they often also include other symptoms such as pain, itching, or unusual odor.


How can I confirm if I am pregnant?

Pregnancy can be confirmed with a home pregnancy test, which detects the presence of the hormone hCG in urine. For more accurate results, a blood test at a doctor's office can be performed.


What are the risks of having unprotected sex with a new partner?

Unprotected sex with a new partner increases the risk of sexually transmitted infections (STIs) and unintended pregnancies. It is important to use protection, such as condoms, to reduce these risks.


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