[20F] Experiencing foul-smelling discharge and spotting post-coital

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

• Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It happens when the normal balance of bacteria in the vagina is disrupted and replaced by an overgrowth of certain bacteria. The main symptom is an abnormal vaginal discharge with a fishy smell, which you described. It may also be white (or gray) and thin. Some women with BV also have an itchy or irritated vagina, but many have no symptoms at all.

  • Treatment typically involves antibiotics prescribed by a healthcare provider.

• Sexually Transmitted Infections (STIs): Given your history of chlamydia and the symptoms you described, it's possible that you have another STI. Many STIs can cause abnormal vaginal discharge and spotting.

  • Treatment depends on the specific STI, but often involves antibiotics or antiviral medications.

• Vaginal Yeast Infection: This is a fungal infection that causes irritation, discharge, and intense itchiness of the vagina and the vulva. However, you did not mention experiencing any itching, which is a common symptom of yeast infections.

  • Treatment typically involves antifungal medication, which can be either oral or topical.

What you can do

Given your symptoms, it's important to seek medical attention. Here are some steps you can take:

1. Schedule an appointment with a healthcare provider: They can perform tests to confirm the diagnosis and prescribe the appropriate treatment.

2. Practice safe sex: Use condoms during sex to reduce the risk of STIs.

3. Maintain good vaginal hygiene: Avoid douching and use mild, unscented soaps.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe abdominal or pelvic pain
• Fever or chills
• Increased amount or change in color of vaginal discharge
• Painful urination or intercourse

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.