[21F] With UTI-like symptoms, vaginal sores, and itching

What might be happening

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

Urinary Tract Infection (UTI)

• Symptoms: Discomfort, bleeding when you pee, and a weird smell.
• Rationale: UTIs can cause discomfort, a burning sensation during urination, and sometimes blood in the urine. The smell can also be a sign of infection.
• Typical Treatments: UTIs are usually treated with antibiotics. Your healthcare provider may also recommend drinking plenty of water to help flush out the bacteria.

Vaginal Infection (e.g., Bacterial Vaginosis or Yeast Infection)

• Symptoms: Itchiness, weird smell, and vaginal sores.
• Rationale: Bacterial vaginosis can cause a fishy odor and discomfort, while yeast infections can cause itching and sores. Tight underwear can exacerbate these symptoms.
• Typical Treatments: Bacterial vaginosis is treated with antibiotics, while yeast infections are treated with antifungal medications. Over-the-counter treatments are available for yeast infections.

Sexually Transmitted Infection (STI)

• Symptoms: Vaginal sores, discomfort, and bleeding.
• Rationale: STIs like chlamydia, herpes, or gonorrhea can cause sores, discomfort, and abnormal bleeding. Given your history of chlamydia and recent new sexual partner, this is a possibility.
• Typical Treatments: STIs are treated with specific antibiotics or antiviral medications, depending on the infection. It's important to get tested and treated promptly.

What you can do

Discomfort and Smell

• See a Doctor: Given the combination of symptoms, it's important to see a healthcare provider as soon as possible. They can perform tests to determine the exact cause and prescribe the appropriate treatment.
• Stay Hydrated: Drink plenty of water to help flush out any potential infection.
• Avoid Irritants: Avoid using scented soaps, douches, or other products that could irritate the vaginal area.

Vaginal Itching and Sores

• Wear Loose Clothing: Opt for loose, breathable underwear and clothing to reduce irritation.
• Over-the-Counter Treatments: Consider using over-the-counter antifungal creams if you suspect a yeast infection, but consult your healthcare provider first.
• Keep the Area Clean: Gently clean the affected area with water and avoid harsh soaps.

General Tips

• Track Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This can help you and your healthcare provider understand your condition better.
• Follow Up: Make sure to attend your upcoming appointment for STI testing and discuss all your symptoms with your healthcare provider.

What you should look out for

Given the severity and combination of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Increased Pain or Discomfort: If the pain becomes severe or unbearable.
• Fever or Chills: These could indicate a more serious infection.
• Heavy Bleeding: If the bleeding becomes heavy or you pass large clots.
• Worsening Sores: If the sores become more painful, spread, or show signs of infection (e.g., pus, increased redness).

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