[20F] Experiencing uterine pain and abnormal vaginal discharge

Patient Description

A 20-year-old female reports experiencing a dull, intermittent pain in the uterus for a few months, rating the severity as a 4 out of 10. The pain is described as less frequent and less painful than when it first started and appears to be related to her menstrual cycle. Additionally, she has been experiencing a medium amount of creamy vaginal discharge, which sometimes has an odor, also for a few months. She mentioned a recent change in sexual partners and unprotected sex. There have been no recent injuries or accidents reported that could be contributing to her symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Bacterial Vaginosis: This is a common vaginal infection that can cause pain, itching, and unusual discharge. It often has a strong, fishy smell, especially after sex.

    • Treatment usually involves antibiotics prescribed by a doctor.
  • Sexually Transmitted Infections (STIs): Certain STIs, such as chlamydia or gonorrhea, can cause pelvic pain and changes in vaginal discharge.

    • Treatment usually involves antibiotics. Both you and your partner(s) would need to be treated to prevent reinfection.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by untreated STIs. It can cause pain in the lower abdomen and changes in vaginal discharge.

    • Treatment usually involves antibiotics. In severe cases, hospitalization may be necessary.

What you can do

You should see a healthcare provider to discuss your symptoms as soon as possible. They can perform tests to determine the cause of your symptoms and prescribe appropriate treatment. In the meantime, you can do the following:

  1. Avoid sexual intercourse until you have seen a doctor and started treatment, to avoid potentially spreading an infection.
  2. Over-the-counter pain relievers, such as ibuprofen, may help with your pelvic pain. Always follow the instructions on the packaging.
  3. Keep the genital area clean and dry. Avoid douching, as it can disrupt the normal balance of bacteria in your vagina and can make an infection worse.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop a high fever (temperature over 100.4°F)
  • You experience nausea or vomiting
  • You have difficulty or pain during urination

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of bacterial vaginosis?

Common symptoms of bacterial vaginosis include a thin, gray, white, or green vaginal discharge, a fishy vaginal odor, especially after sex, vaginal itching, and burning during urination.


How can sexually transmitted infections affect vaginal health?

Sexually transmitted infections can cause symptoms such as unusual vaginal discharge, pelvic pain, burning during urination, and bleeding between periods. They can also lead to more serious conditions like pelvic inflammatory disease if left untreated.


What is pelvic inflammatory disease and how is it treated?

Pelvic inflammatory disease is an infection of the female reproductive organs, often caused by untreated STIs. It can cause symptoms like lower abdominal pain, fever, unusual discharge, and pain during intercourse. Treatment typically involves antibiotics, and in severe cases, hospitalization may be necessary.


When should I seek immediate medical attention for pelvic pain?

You should seek immediate medical attention if your pelvic pain becomes severe or unbearable, if you develop a high fever, experience nausea or vomiting, or have difficulty or pain during urination.


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