[19F] Experiencing foul-smelling watery discharge and post-coital stomach pain

Patient Description

A 19-year-old female reports experiencing a foul-smelling, watery vaginal discharge that is sufficient to soak through underwear but not a pad. This symptom has been occurring on and off and began suddenly. The patient also experiences stomach pain after sexual intercourse and has noticed red when wiping, along with a small blood clot during a shower. There have been no changes in stool color or consistency. The patient has not had any new sexual partners and does not use protection with her current partner. She is currently taking PhD vaginal odor pills and has seasonal allergies, but no known medication allergies. No other medications or supplements are reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Bacterial Vaginosis (BV): This is a common condition caused by an imbalance of bacteria in the vagina. It often results in a fishy or sour-smelling discharge that can be watery. BV is not a sexually transmitted infection, but sexual activity can increase the risk. Treatment typically involves antibiotics prescribed by a healthcare provider.

  • Yeast Infection: Although yeast infections usually cause a thick, white discharge, they can sometimes present with watery discharge and discomfort. Yeast infections are caused by an overgrowth of yeast in the vagina and are treated with antifungal medications.

  • Sexually Transmitted Infections (STIs): Some STIs, such as trichomoniasis, can cause unusual discharge and odor. It's important to get tested if there's any possibility of an STI, as they require specific treatments.

  • Cervicitis or Pelvic Inflammatory Disease (PID): These conditions involve inflammation of the cervix or reproductive organs and can cause abnormal discharge, bleeding, and pain. They often require antibiotics for treatment.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor or gynecologist for a proper diagnosis and treatment plan. They may perform tests to determine the exact cause of your symptoms.

  2. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented products or douches, as they can disrupt the natural balance of bacteria.

  3. Track Your Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can help in identifying patterns or triggers.

  4. Consider Probiotics: Some people find that probiotics help maintain a healthy balance of bacteria in the vagina. You might discuss this option with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe abdominal or pelvic pain
  • Fever or chills
  • Heavy bleeding or large blood clots
  • Symptoms that worsen or do not improve with treatment

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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29 d ago

People Also Ask

What are the common symptoms of Bacterial Vaginosis (BV)?

Common symptoms of Bacterial Vaginosis (BV) include a fishy or sour-smelling vaginal discharge that is often watery, vaginal itching or irritation, and sometimes a burning sensation during urination. It's important to see a healthcare provider for a proper diagnosis.

Can a yeast infection cause watery discharge?

Yes, while yeast infections typically cause a thick, white discharge, they can sometimes present with a watery discharge. Other symptoms may include itching, irritation, and redness in the vaginal area.

How can I differentiate between a yeast infection and an STI?

Yeast infections usually cause thick, white discharge and itching, while STIs like trichomoniasis can cause unusual discharge and odor. STIs may also present with other symptoms such as pain during intercourse or urination. Testing by a healthcare provider is necessary to accurately differentiate between them.

What are the potential risks of not using protection during sexual intercourse?

Not using protection during sexual intercourse increases the risk of sexually transmitted infections (STIs) and unintended pregnancies. It can also lead to conditions like bacterial vaginosis due to changes in the vaginal flora. Using condoms can help reduce these risks.

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