[19F] Experiencing unusual vaginal discharge and pain urinating post-coital

Patient Description

A 19-year-old female reports pain during urination and a change in vaginal discharge following sexual intercourse. The discharge is described as watery, white-ish with a slight yellow color, and has an unusual odor. The patient notes that the discharge is about a teaspoon in amount, which is typical for her, but the watery consistency and odor are new symptoms. She has been on the birth control pill Kurvelo since November 2021 and takes it consistently at 9:00 pm with water. There are no other symptoms, no known drug allergies, and no other medications, over-the-counter drugs, vitamins, or supplements being taken. The patient has no past medical history of chronic illnesses or conditions. The patient also notes slight discomfort in the stomach area, but no severe pain, fever, nausea, vomiting, or back pain. There is no itching, but there was soreness in the vaginal/vulva area post-coital.

Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes for your symptoms could be:

Bacterial Vaginosis (BV): This is a common condition where there is an imbalance of the bacteria normally found in the vagina. It often causes a change in discharge, which can become watery and develop a fishy smell. It can also cause discomfort during sex and urination.
- Treatment typically involves a course of antibiotics prescribed by a doctor.
Sexually Transmitted Infection (STI): Certain STIs, such as chlamydia or gonorrhea, can cause changes in vaginal discharge and discomfort during urination. These infections can be asymptomatic or cause mild symptoms, so it's important to get tested if you're sexually active and experiencing these symptoms.
- Treatment typically involves antibiotics. It's important to notify any sexual partners so they can also get tested and treated if necessary.
Yeast Infection: This is a common fungal infection that can cause changes in discharge (typically thick and white, like cottage cheese), itching, and discomfort during sex and urination. However, you've mentioned your discharge is watery, which is less typical for a yeast infection.
- Treatment typically involves antifungal medication, which can be prescribed by a doctor or available over-the-counter.

Remember, I'm an AI and not a doctor, so these are only potential causes. It's important to see a healthcare professional for a formal diagnosis and treatment.

What you can do

Here are some steps you can take while you wait for your doctor's appointment:

Avoid sexual intercourse until you've been evaluated by a healthcare professional, as some conditions can be transmitted to your partner.
Avoid douching or using any scented products in your vaginal area, as these can further disrupt the natural balance of bacteria.
Keep the area clean and dry. Wear cotton underwear and avoid tight-fitting clothing to allow the area to breathe.
Drink plenty of water to help flush out your urinary tract and relieve discomfort during urination.