[20F] With foul-smelling discharge and urinary symptoms

What might be happening

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

• Bacterial Vaginosis (BV): This is a common vaginal infection caused by an imbalance of bacteria in the vagina. Symptoms often include a fishy odor, especially after sex, and thin, white or gray discharge.

  • Treatment: BV is typically treated with antibiotics prescribed by a healthcare provider.

• Trichomoniasis: This is a sexually transmitted infection (STI) caused by a parasite. Symptoms can include a fishy odor, thin discharge, and discomfort during urination or sex.

  • Treatment: Trichomoniasis is usually treated with a single dose of antibiotics.

• Yeast Infection: While less likely given your symptoms, yeast infections can sometimes cause a white discharge. However, they are usually associated with itching and irritation, which you did not report.

  • Treatment: Over-the-counter antifungal medications or prescription treatments from a healthcare provider.

• Urinary Tract Infection (UTI): Although UTIs typically cause burning during urination, they can sometimes present with unusual discharge.

  • Treatment: UTIs are treated with antibiotics prescribed by a healthcare provider.

What you can do

1. Consult a Healthcare Provider: It's important to see a healthcare provider for a formal diagnosis and appropriate treatment. They may perform a pelvic exam and take samples of the discharge for testing.
2. Avoid Douching: Douching can disrupt the natural balance of bacteria in your vagina and may worsen your symptoms.
3. Practice Safe Sex: Use condoms to reduce the risk of STIs and prevent the spread of infections.
4. Maintain Good Hygiene: Shower regularly and wear breathable, cotton underwear to keep the genital area dry and clean.
5. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help in identifying patterns and triggers.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Pain: If you develop severe pelvic or abdominal pain.
• Fever: If you develop a fever (temperature over 100.4°F) or chills.
• Worsening Symptoms: If your symptoms worsen or do not improve with initial treatment.
• Unusual Bleeding: If you notice any unusual vaginal bleeding.

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