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I Have Been Having Some Uncomforable Feelings Down There. Sometimes
Question: i have been having some uncomforable feelings down there. sometimes it would sting when i go to the toilet but other times it will not. i assumed this was an STI as a sexual parter informed me they had Chlaymidia. before this a couple of months ago i went to the doctor thinking that i had a urine infection but it wasnt that. when i explained my symptoms to the doctor they said it sounded like an STI. i did get a urine test for it but it got sent to the wrong place. but now i have ordered the medication to treat Chlaymidia. im worried that it is something worse than that because its not just a stinging when i wee, i get a stinging or an uncomfortable very annoying feeling down there which i felt eased when i drank water and the bladder was full. the feelings come and go and they started just after i slept with the person who i thought gave me an STI. but since ive looked up my symptoms on the internet its making me feel like i have bladder cancer or interstitial cistitis. i have an appetite and no other symptoms other than the feelings in my vagina. its started really hurting to have sex and thats been ever since i slept with the person who i thought gave me something. i do get some discharge since then too.
Brief Answer:
STI is the likely cause of your symptoms, bladder cancer, and interstitial cystitis are less likely- details below
Detailed Answer:
Hello and welcome to "Ask A Doctor" service,
I carefully read your query and understand your concern.
Based on the history and the symptoms you explain it is more likely you have an STI. Bladder cancer and interstitial cystitis are unlikely because:
- Bladder cancer is more common after the age of 60 and much more common in men than in women. Patients with bladder cancer have blood in the urine (painless hematuria) and later in the disease, they develop urinary symptoms such as frequency, burning, and pain.
- Interstitial cystitis is a pain in the lower urinary tract for at least 6 weeks but without any infection.
So, in your case, due to the urinary symptoms and increased vaginal secretions, and because the symptoms started right after having a new sexual partner, the most likely diagnosis is an STI. The fact that your partner has been diagnosed with chlamydia infection further supports this.
It is good you are going to have the antibiotics for chlamydia infection. It is important to get the full course of it and avoid sexual intercourse during treatment. Your partner/s need to be treated at the same time you are getting treated.
It is advisable to be checked for other sexually transmitted infections as STI tend to walk together, which means if the patient is exposed to one STI, he/she may have other STIs as well.
So, I would recommend you to talk to your doctor and have the following tests:
- Cervical samples for NAAT examination for gonorrhea and trichomonas
- Blood tests for HIV, syphilis and Hep B
- You will need to discuss with your doctor the routine screening with a Pap smear to see if you are up to date with this as well
I hope this answers your query.
I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
STI is the likely cause of your symptoms, bladder cancer, and interstitial cystitis are less likely- details below
Detailed Answer:
Hello and welcome to "Ask A Doctor" service,
I carefully read your query and understand your concern.
Based on the history and the symptoms you explain it is more likely you have an STI. Bladder cancer and interstitial cystitis are unlikely because:
- Bladder cancer is more common after the age of 60 and much more common in men than in women. Patients with bladder cancer have blood in the urine (painless hematuria) and later in the disease, they develop urinary symptoms such as frequency, burning, and pain.
- Interstitial cystitis is a pain in the lower urinary tract for at least 6 weeks but without any infection.
So, in your case, due to the urinary symptoms and increased vaginal secretions, and because the symptoms started right after having a new sexual partner, the most likely diagnosis is an STI. The fact that your partner has been diagnosed with chlamydia infection further supports this.
It is good you are going to have the antibiotics for chlamydia infection. It is important to get the full course of it and avoid sexual intercourse during treatment. Your partner/s need to be treated at the same time you are getting treated.
It is advisable to be checked for other sexually transmitted infections as STI tend to walk together, which means if the patient is exposed to one STI, he/she may have other STIs as well.
So, I would recommend you to talk to your doctor and have the following tests:
- Cervical samples for NAAT examination for gonorrhea and trichomonas
- Blood tests for HIV, syphilis and Hep B
- You will need to discuss with your doctor the routine screening with a Pap smear to see if you are up to date with this as well
I hope this answers your query.
I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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