[30F] Experiencing late period with abdominal cramps and unusual discharge

Patient Description

A 30-year-old female presents with a 5-day late menstrual period, lower abdominal cramps, strong smelling and dark yellow urine, and thick, white, non-odorous vaginal discharge. The patient has a history of PCOS, diagnosed at age 16, asthma diagnosed at age 19, and chronic back and shoulder pain since age 25 due to accidents. The patient also reports a known allergy to Penicillin and related medications. She has been sexually active without contraception. No relief measures for the symptoms have been identified, and no additional symptoms such as pain or burning during urination, fever, back pain, blood in urine, or severe pain increase were reported. The patient also experiences lightheadedness when standing up too quickly or bending down. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Urinary Tract Infection (UTI): UTIs can cause strong-smelling urine and abdominal cramping. They are typically caused by bacteria and are more common in women.

    • Treatment usually involves antibiotics to clear the infection. Drinking plenty of fluids can help to flush out the bacteria.
  • Vaginal Yeast Infection: This is a common condition in women that can cause thick, white vaginal discharge. It's usually accompanied by itching, but not always.

    • Treatment typically involves antifungal medications, which can be either oral or topical.
  • Pregnancy: Given that you have been sexually active without contraception and your period is late, it's possible that you could be pregnant. Early symptoms of pregnancy can include abdominal cramping and changes in vaginal discharge.

    • Confirming pregnancy typically involves a home pregnancy test or a blood test at your doctor's office.

What you can do

  1. For a potential UTI, it's important to drink plenty of fluids and avoid irritating substances, like caffeine and alcohol, which can worsen symptoms. Over-the-counter pain medication can also help with the discomfort.

  2. For a potential yeast infection, over-the-counter antifungal creams may be helpful. However, it's important to see a doctor for a proper diagnosis before starting treatment.

  3. If you suspect you might be pregnant, taking a home pregnancy test can provide quick results. However, these tests are not 100% accurate, especially in the early stages of pregnancy, so it's important to follow up with a healthcare provider for confirmation.

What you should look out for

  • If your symptoms worsen or if you develop new symptoms, such as fever, severe abdominal pain, or blood in your urine, it's important to seek medical attention immediately.

  • If you take a home pregnancy test and it's positive, you should schedule an appointment with a healthcare provider to confirm the pregnancy and discuss next steps.

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. You should consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


How can I tell if I have a vaginal yeast infection?

A vaginal yeast infection often presents with symptoms such as thick, white vaginal discharge that resembles cottage cheese, itching and irritation in the vagina and vulva, and redness and swelling of the vulva.


What are the early signs of pregnancy?

Early signs of pregnancy can include a missed period, nausea or vomiting (often referred to as morning sickness), tender or swollen breasts, increased urination, and fatigue.


What should I do if I suspect I have a UTI or yeast infection?

If you suspect a UTI, it's important to drink plenty of fluids and consult a healthcare provider for a possible antibiotic prescription. For a yeast infection, over-the-counter antifungal treatments may help, but it's best to see a doctor for a proper diagnosis before starting treatment.


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