[28F] Experiencing sour vaginal discharge and cloudy urine

Patient Description

A 28-year-old female reports a sour vaginal discharge without a specific odor and the presence of little white specks in her urine, which has been cloudy for the past month. The patient has a history of hidradenitis suppurativa diagnosed at age 18 and was diagnosed with a urinary tract infection one month ago. She is currently taking birth control and has no known drug allergies. There are no associated symptoms of pain, burning during urination, fever, or abdominal pain, and no blood has been observed in the urine.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It occurs when there's a change in the normal balance of bacteria in your vagina. Symptoms can include a thin, gray, white or green vaginal discharge, a foul-smelling "fishy" vaginal odor, and sometimes a burning sensation during urination.

    • Treatment usually involves antibiotics prescribed by a doctor.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. Cloudy urine with white specks could be a sign of a UTI.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water may help to dilute your urine and help flush out bacteria.
  • Sexually Transmitted Infections (STIs): Certain STIs, like chlamydia or gonorrhea, can cause changes in vaginal discharge. However, you mentioned that you haven't had any new sexual partners recently, which makes this less likely.

    • Treatment for STIs usually involves antibiotics or antiviral medications.

What you can do

  1. Schedule an appointment with your healthcare provider. They can perform tests to confirm the diagnosis and prescribe appropriate treatment.
  2. In the meantime, continue to monitor your symptoms. If they worsen or if you develop new symptoms, seek medical attention immediately.
  3. Drink plenty of water to help flush out bacteria from your urinary tract.
  4. Avoid douching or using any scented products in your vaginal area, as these can disrupt the normal balance of bacteria.

What you should look out for

  • If you develop a fever, severe abdominal pain, or notice blood in your urine, seek medical attention immediately.
  • If your symptoms do not improve after treatment, or if they return shortly after treatment, contact your healthcare provider.

Please remember that this advice is based on the information you've provided and is not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.

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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, and sometimes a burning sensation during urination.


Can a urinary tract infection cause cloudy urine with white specks?

Yes, a urinary tract infection can cause cloudy urine with white specks. This can be due to the presence of bacteria, white blood cells, or pus in the urine.


How can I prevent recurrent urinary tract infections?

To prevent recurrent urinary tract infections, drink plenty of water, urinate frequently, wipe from front to back after using the toilet, and avoid using irritating feminine products.


Is it possible for birth control to affect vaginal discharge?

While birth control itself typically does not directly affect vaginal discharge, hormonal changes from birth control can sometimes alter the natural balance of bacteria in the vagina, potentially leading to changes in discharge.


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