I would like to ask if my symptoms are indicative of gonorrhea?
Hello, doctor.
I have never engaged in sexual intercourse, but I have been experiencing symptoms of itching in the genital area for almost five years, which have been recurring.
Most of the time, the itching is on the left side of the labia, and sometimes I even feel pain in the left vaginal area when walking.
The discharge varies; sometimes it is white, sometimes yellow, and at times it is a small amount of clear fluid.
I initially thought it was a common bacterial infection, but due to fear, I have not seen a doctor until recently.
In the past two months, I have experienced lower back pain above the buttocks twice, each lasting about two to three days before subsiding.
Recently, I occasionally feel mild, intermittent pain in the lower left abdomen, which is not very severe.
Additionally, last month I had mild fever symptoms accompanied by diarrhea that lasted for three days.
Here are my questions:
1.
Is it still necessary to consider the possibility of gonorrhea even though I have not engaged in sexual intercourse?
2.
Is the more severe itching on one side (the other side also itches but not as severely) different from typical bacterial vaginosis? Could it be a gonococcal Bartholin's gland cyst caused by gonorrhea?
3.
Is the pain while walking necessarily indicative of gonorrhea?
4.
I have always had posture issues, but I have never experienced back pain like this before.
Could it be pelvic inflammatory disease caused by gonorrhea?
5.
Can the lower abdominal pain caused by gonorrhea occur on one side only? Are both the dull pain and the intermittent sharp pain caused by gonorrhea?
6.
Since I have been experiencing discomfort in the genital area for so many years, have I possibly developed chronic gonorrhea, which could explain the recent issues like back pain, fever, and diarrhea? If so, is there still hope for me?
Thank you for your response, doctor.
I have been feeling exhausted and anxious every day…
Xi, 20~29 year old female. Ask Date: 2019/09/18
Dr. Du Shixi reply Urology
Hello: A diagnosis cannot be made without an examination at this facility.
If you have not engaged in sexual activity, the likelihood of an issue is minimal.
As for the symptoms that have persisted for many years, they may be related to gynecological problems.
It is advisable to seek a thorough examination at a large hospital.
If you feel uncomfortable, you may request a female physician, which can help reduce any awkwardness.
Early diagnosis leads to early treatment.
If it is an infection, the treatment duration is usually not long.
Wishing you a swift recovery and good health.
Reply Date: 2019/09/18
More Info
It sounds like you're experiencing a complex set of symptoms that are understandably causing you a lot of anxiety. Let's break down your concerns regarding the possibility of gonorrhea and other related issues, even in the absence of sexual activity.
1. Could it be gonorrhea without sexual activity?
Gonorrhea is primarily transmitted through sexual contact, including vaginal, anal, and oral sex. However, it is theoretically possible to contract gonorrhea through non-sexual means, such as from contaminated surfaces or through contact with infected bodily fluids. That said, if you have not engaged in any sexual activity, the likelihood of having contracted gonorrhea is significantly reduced. It is essential to consider other potential causes for your symptoms.
2. Is the unilateral itching related to bacterial vaginosis or gonorrhea?
The unilateral itching you describe, particularly if it is localized to one side, may not align with typical presentations of gonorrhea, which usually causes more generalized symptoms. Bacterial vaginosis or a yeast infection could be more likely culprits, especially if the discharge varies in color and consistency. Conditions like vulvodynia or vestibulodynia could also cause localized pain and discomfort.
3. Is the pain while walking indicative of gonorrhea?
Pain during walking is not a definitive symptom of gonorrhea. It could be related to various factors, including posture, pelvic floor dysfunction, or other gynecological issues. Given your history of poor posture, it might be worth exploring whether musculoskeletal factors are contributing to your discomfort.
4. Can gonorrhea cause unilateral lower abdominal pain?
While gonorrhea can lead to pelvic inflammatory disease (PID), which may cause abdominal pain, it typically presents with more generalized pain rather than unilateral. However, it is possible for infections to manifest differently in individuals. The intermittent nature of your pain could suggest other conditions, such as ovarian cysts or other gynecological issues.
5. Have I developed chronic gonorrhea?
Chronic gonorrhea is not a recognized medical term; however, untreated gonorrhea can lead to long-term complications. If you have been experiencing symptoms for several years, it is crucial to seek medical evaluation. Your symptoms, including lower back pain, fever, and diarrhea, could indicate a more systemic issue that requires attention.
Given the complexity of your symptoms and the duration of your discomfort, I strongly recommend that you see a healthcare provider for a thorough evaluation. They may perform a pelvic exam, take cultures, and possibly conduct blood tests to rule out infections, including gonorrhea and other sexually transmitted infections (STIs).
In the meantime, try to keep a record of your symptoms, including when they occur, their severity, and any other associated factors. This information can be invaluable for your healthcare provider in diagnosing your condition.
It's understandable to feel overwhelmed and anxious about your health, especially with symptoms that have persisted for so long. Remember that seeking help is a crucial step toward finding relief and understanding your body better. You deserve to feel comfortable and healthy, and there are medical professionals who can assist you in achieving that.
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