[38F] with ongoing vaginal discharge and menstrual irregularities

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations:

Vaginal Discharge and Burning Sensation

• Bacterial Vaginosis (BV): This condition can cause a whitish-clear discharge with a distinct odor. It is not typically associated with a fishy smell, but the odor can be noticeable. BV is caused by an imbalance of the natural bacteria in the vagina.
• Yeast Infection: Although you mentioned no fishy odor, a yeast infection can cause a clear or whitish discharge and discomfort, especially if you have a history of yeast infections with antibiotics.
• Sexually Transmitted Infections (STIs): Given your partner's history, it's important to rule out STIs like chlamydia or gonorrhea, which can cause discharge and burning during urination.

Menstrual Irregularities and Pelvic Pain

• Expired IUD: An expired IUD can cause hormonal imbalances, leading to irregular periods and pelvic pain. It's important to have it checked and possibly replaced.
• Uterine Fibroids: Your fibroid could contribute to irregular bleeding and pelvic pain. Fibroids can cause heavy, prolonged periods and discomfort.

Increased Sweating, Fatigue, Dry Skin, and Thinning Hair

• Thyroid Issues: Symptoms like increased sweating, fatigue, dry skin, and thinning hair can be indicative of thyroid problems, such as hypothyroidism or hyperthyroidism.
• Hormonal Imbalances: These symptoms can also be related to hormonal changes, possibly influenced by your expired IUD.

What you can do

Vaginal Discharge and Burning Sensation

• See a Doctor: It's important to consult a healthcare provider to rule out infections like BV, yeast infections, or STIs. They may perform a pelvic exam and take samples for testing.
• Maintain Hygiene: Keep the vaginal area clean and dry. Avoid using scented products that can irritate the area.
• Use Protection: Until you have a clear diagnosis, consider using condoms to prevent potential STI transmission.

Menstrual Irregularities and Pelvic Pain

• Consult a Gynecologist: Given your expired IUD and fibroid, it's crucial to see a gynecologist. They may recommend removing or replacing the IUD and provide treatment options for the fibroid.
• Track Your Cycle: Use a journal or an app like MDandMe to track your menstrual cycle, symptoms, and any irregularities. This information can be helpful for your doctor.

Increased Sweating, Fatigue, Dry Skin, and Thinning Hair

• Get a Thyroid Check: Ask your doctor to check your thyroid function through blood tests. Thyroid issues are treatable with medication.
• Stay Hydrated and Moisturized: Drink plenty of water and use moisturizers to combat dry skin.
• Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals to support overall health.

What you should look out for

• Worsening Symptoms: If you notice an increase in discharge, a change in its color or odor, or more severe burning during urination, seek medical attention promptly.
• Severe Pelvic Pain: If you experience severe or persistent pelvic pain, it could indicate a more serious issue that needs immediate attention.
• Unusual Bleeding: Any unusual or heavy bleeding should be evaluated by a healthcare provider.
• Systemic Symptoms: Symptoms like unexplained weight loss, persistent fatigue, or significant changes in your skin or hair should be discussed with your doctor.

Remember, while I can provide information and suggestions, it's essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.