Post-Sexual Itching: Symptoms and When to Seek Help

Itching in the genital area after having intercourse with a boyfriend?

Hello Doctor: After having intercourse with my boyfriend, about a day later, I experienced severe itching in my vagina.
There is also a yellow-green discharge with a foul odor.
I have pain in the pubic area, and urination is slightly painful.
Initially, we did not shower before intercourse, and we did not use a condom at first, but we did later on.
Could this indicate an infection, or is there another issue? The itching has persisted for four to five days.
If I visit a gynecologist, will an internal examination be necessary? Thank you.

Amy, 30~39 year old female. Ask Date: 2016/06/11

Dr. Lü Lizheng reply Obstetrics and Gynecology

The response suggests that there may be vaginal inflammation, and there is even a possibility of uterine inflammation.
It is recommended to seek medical examination and treatment.
A pelvic examination can help confirm the diagnosis and allow the physician to better understand your condition, enabling them to choose the best treatment option.
However, if you really do not want to undergo a pelvic exam, the physician will likely understand and can diagnose and treat based solely on your symptoms.

Reply Date: 2016/06/11

More Info

Post-sexual itching and discomfort can be concerning and may indicate an infection or other underlying issue. Based on your description, the symptoms you are experiencing—intense itching, yellow-green discharge with an unpleasant odor, pain in the pubic area, and a burning sensation during urination—are suggestive of a possible vaginal infection, such as bacterial vaginosis or a sexually transmitted infection (STI) like trichomoniasis or gonorrhea.

Understanding Your Symptoms
1. Itching and Discharge: The intense itching and the presence of a yellow-green discharge are key indicators that something may be wrong. Normal vaginal discharge is typically clear or milky and does not have a strong odor. The change in color and odor suggests a potential infection.

2. Pain and Burning Sensation: The pain in the pubic area and the burning sensation during urination can also be associated with infections. This could be due to irritation from the infection itself or inflammation of the urinary tract.

3. Timing: The fact that these symptoms appeared a day after sexual intercourse, especially after engaging in unprotected sex initially, raises the likelihood of an infection being transmitted during that encounter.

When to Seek Help
Given that your symptoms have persisted for four to five days, it is advisable to seek medical attention promptly. Here are some steps you should consider:
- Visit a Healthcare Provider: It is important to see a healthcare provider, preferably a gynecologist or a primary care physician who specializes in sexual health. They can perform the necessary examinations and tests to determine the cause of your symptoms.

- Internal Examination: An internal examination may be necessary to assess the condition of your vaginal walls and cervix. This can help identify any signs of infection, inflammation, or other abnormalities.

- Testing for STIs: Given your sexual history, it would be prudent to get tested for STIs. This may include tests for chlamydia, gonorrhea, trichomoniasis, and other infections. Early detection and treatment are crucial for preventing complications.

Potential Treatments
Depending on the diagnosis, treatment options may vary:
- Antibiotics: If a bacterial infection is diagnosed, antibiotics may be prescribed. This is common for bacterial vaginosis or STIs.

- Antifungal Treatments: If a yeast infection is suspected, antifungal medications may be recommended.

- Symptomatic Relief: Over-the-counter treatments may help alleviate itching and discomfort, but these should not replace professional medical advice.

Prevention Tips
To prevent future infections, consider the following:
- Practice Safe Sex: Always use condoms to reduce the risk of STIs, even if you are in a monogamous relationship. This is especially important if you or your partner have had multiple sexual partners.

- Maintain Hygiene: Shower before and after sexual activity, and avoid douching or using scented products in the genital area, as these can disrupt the natural balance of bacteria.

- Regular Check-ups: Regular gynecological exams and STI screenings are important for sexually active individuals, especially if you have new or multiple partners.

Conclusion
Your symptoms warrant a thorough evaluation by a healthcare professional. Do not hesitate to seek help, as early diagnosis and treatment can significantly improve your health outcomes. Remember, taking care of your sexual health is an important aspect of overall well-being.

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