[34F] With fishy-smelling urine and mild burning sensation post-intercourse

What might be happening

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

• Bacterial Vaginosis (BV): BV is a common vaginal infection caused by an imbalance of bacteria in the vagina. Symptoms often include a fishy odor, especially after intercourse, and sometimes a burning sensation during urination. BV is not a sexually transmitted infection, but sexual activity can disrupt the natural balance of bacteria.

  • Treatment: BV is typically treated with antibiotics prescribed by a healthcare provider. Common medications include metronidazole or clindamycin.

• Urinary Tract Infection (UTI): Although less likely given your symptoms, a UTI can sometimes cause a burning sensation during urination and changes in urine odor.

  • Treatment: UTIs are also treated with antibiotics. Drinking plenty of water can help flush out the bacteria.

• Post-Antibiotic Vaginal Changes: The antibiotics you took for your tooth infection could have disrupted the natural balance of bacteria in your vagina, leading to symptoms similar to BV.

  • Treatment: Probiotics or a healthcare provider's advice on restoring the natural balance of bacteria may be helpful.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Maintain Good Hygiene: Continue with your regular showering routine, but avoid using scented soaps or douches, as these can further disrupt the natural balance of bacteria.
2. Stay Hydrated: Drink plenty of water to help flush out any potential bacteria.
3. Avoid Irritants: Wear cotton underwear and avoid tight-fitting clothes to allow your vaginal area to breathe.
4. Probiotics: Consider taking probiotics, which can help restore the natural balance of bacteria in your body.
5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in identifying patterns and triggers.

What you should look out for

Seek medical attention if you experience any of the following:

• Worsening Symptoms: If the burning sensation or odor worsens, or if you develop new symptoms like itching, increased discharge, or pelvic pain.
• Fever or Chills: These could indicate a more serious infection that requires prompt medical attention.
• Blood in Urine: This could be a sign of a UTI or other condition that needs immediate evaluation.

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