STIs: Symptoms and When to Seek Medical Help - Urology

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Sexually Transmitted Infection (STI) Testing


Hello, I have only had one sexual partner.
Recently, I used a tampon while on my period and went to a hot spring.
Now, I am experiencing severe itching in the genital area and issues with discharge.
My discharge used to be white, but it has suddenly changed to a thick yellow color.
Am I sick?

xin, 20~29 year old female. Ask Date: 2018/11/02

Dr. Chen Jiansheng reply Urology


Please schedule a gynecological examination.

Reply Date: 2018/11/02

More Info


When it comes to sexually transmitted infections (STIs), understanding the symptoms and knowing when to seek medical help is crucial for maintaining your sexual health. Based on your description, it sounds like you are experiencing some concerning symptoms, including itching in the genital area and a change in your vaginal discharge from white to yellow and thick. These changes can be indicative of an infection, and it is important to address them promptly.

First, let's discuss the symptoms you are experiencing. Itching in the genital area can be caused by various factors, including infections, irritations, or allergies. The change in your discharge is particularly noteworthy. Normal vaginal discharge can vary in color and consistency throughout your menstrual cycle, but a sudden change to yellow and thick discharge may suggest an infection, such as bacterial vaginosis or a sexually transmitted infection like gonorrhea or chlamydia.

Bacterial vaginosis (BV) is a common condition caused by an imbalance of bacteria in the vagina. Symptoms can include a fishy odor, itching, and changes in discharge. On the other hand, STIs like chlamydia and gonorrhea can also present with abnormal discharge, often accompanied by other symptoms such as burning during urination, pelvic pain, or bleeding between periods.

Given that you have had only one sexual partner, it is still possible to contract STIs, especially if your partner has had other sexual encounters. It is also worth noting that some STIs can be asymptomatic, meaning that individuals may not show any signs or symptoms but can still transmit the infection to others.

In terms of when to seek medical help, it is advisable to consult a healthcare provider as soon as possible if you are experiencing any of the following:
1. Changes in Discharge: If your discharge has changed in color, consistency, or odor, it is important to get it checked out.

2. Itching or Irritation: Persistent itching or irritation in the genital area should not be ignored, as it can indicate an infection or other underlying issue.

3. Pain or Discomfort: If you experience pain during urination, intercourse, or in your pelvic area, it is essential to seek medical attention.

4. Unusual Symptoms: Any other unusual symptoms, such as fever, chills, or abdominal pain, warrant a visit to a healthcare provider.

When you visit a healthcare provider, they will likely perform a physical examination and may take samples for laboratory testing to determine the cause of your symptoms. Treatment will depend on the diagnosis but may include antibiotics for bacterial infections or antifungal medications for yeast infections.

In the meantime, it is important to practice good hygiene, avoid douching or using scented products in the genital area, and refrain from sexual activity until you have been evaluated by a healthcare professional. This will help prevent further irritation and reduce the risk of transmitting any potential infections.

In conclusion, while it is understandable to feel concerned about your symptoms, seeking medical help is the best course of action. Early diagnosis and treatment can help resolve the issue and prevent complications. Remember, your health is important, and addressing these symptoms promptly is key to maintaining your overall well-being.

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