[30F] Experiencing pelvic pain and persistent tongue coating

What might be happening

Based on the information you provided, possible diagnoses include:

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's often caused by sexually transmitted bacteria. Symptoms can include pelvic pain, abnormal vaginal discharge, and fever. You mentioned that your symptoms improved with antibiotics for PID but did not completely resolve, which suggests this could be a chronic or recurring issue.

  • Treatment typically involves antibiotics. In some cases, hospitalization or surgery may be necessary.

• Bacterial Vaginosis (BV): This is a type of vaginal inflammation caused by the overgrowth of bacteria naturally found in the vagina. You mentioned a diagnosis of Gardnerella, which is commonly associated with BV. Symptoms can include a thin, gray, white or green vaginal discharge, and pain, itching or burning in the vagina.

  • Treatment typically involves antibiotics.

• Oral Hairy Leukoplakia: This is a condition caused by the Epstein-Barr virus. It can cause white patches on the tongue that can't be scraped off. It's often seen in people with weakened immune systems, such as those with HIV/AIDS.

  • Treatment typically involves antiviral medications.

Please note that these are potential diagnoses based on the information you provided. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

1. Schedule an appointment with a healthcare provider. They can perform tests to confirm a diagnosis and prescribe appropriate treatment.
2. Practice safe sex. Use condoms to reduce your risk of sexually transmitted infections.
3. Maintain good oral hygiene. Brush your teeth twice a day and clean your tongue regularly.

What you should look out for

• Severe pelvic pain or heavy bleeding
• Fever or chills
• Severe oral pain or difficulty swallowing

If you experience any of these symptoms, seek medical attention immediately.