Navigating Gynecological Issues: Finding the Right Help for Your Symptoms

I want to go to a clinic for medical treatment, but I'm unsure who to seek help from?

I went to a clinic for urethritis before the New Year, and after taking medication for a day, I started experiencing itching in my intimate area.
Due to the holiday, I waited until after the break to consult again.
The doctor suggested using an ointment, but it didn't help.
Then they recommended switching to a different cream and suggested an internal examination.
During the examination, they noted inflammation and mentioned that I hadn't had a Pap smear, so they decided to do one.
The internal exam revealed inflammation, and they prescribed a suppository, saying I would receive a call in a few days.
They instructed me to inform them about the inflammation and that I was using the suppository, but I have some doubts.
Using the suppository is still uncomfortable, and the itching persists.
I haven't received the Pap smear results yet.
The first internal exam was very unpleasant, and I felt a sense of rejection.
My boyfriend keeps urging me to see another clinic, expressing concern, possibly because I have been avoiding sexual intercourse.
I don't know what to do; on one hand, I feel unsure about how to ask about these intimate issues, and on the other hand, I feel that doctors are very busy and seem impatient to answer questions.

It's already embarrassing to discuss these issues, especially with the COVID-19 precautions where I have to speak loudly through a partition.
Currently, I feel symptoms including itching in my intimate area and vagina, with yellow-green discharge that I often have to manually remove, as it causes discomfort when it comes into contact with the outer skin.
Upon self-examination, I noticed that I can directly feel swelling at the cervix and that it is not closed.
I occasionally feel a dull ache in my lower abdomen, have a strong aversion to intercourse, and do not wish to engage in masturbation.
Additionally, I have started experiencing pain and bleeding from the anus, and recently there has been localized pain in the left groin lymph node (I'm not sure if it's from an injury).

Huan Huan, 30~39 year old female. Ask Date: 2022/06/22

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the amount of vaginal discharge typically varies among individuals and changes throughout the menstrual cycle.
For instance, after menstruation, the discharge is usually minimal and gradually increases.
During ovulation, the discharge becomes more abundant, characterized by a clear, stretchy, and elastic consistency, with no odor.
After ovulation, the discharge decreases again but becomes thicker.
Just before menstruation, the discharge increases once more, often appearing slightly yellow or blood-tinged, and may have a faint fishy odor.
However, you should consult a physician if you experience any of the following conditions regarding vaginal discharge: 1.
An abnormal increase in amount that causes discomfort, requiring the use of panty liners.
2.
Changes in color or consistency of the discharge.
3.
An unpleasant odor, as normal vaginal discharge is typically odorless; a foul smell often indicates a disruption in the vaginal environment and potential pathogen growth.
4.
Accompanying symptoms such as itching or burning in the vulva or vagina, and lower abdominal pain, which may indicate vaginitis or pelvic inflammatory disease.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/06/22

More Info

Navigating gynecological issues can be a daunting experience, especially when faced with a range of uncomfortable symptoms and the challenge of finding the right medical help. Based on your description, it seems you are experiencing a variety of symptoms, including itching, unusual discharge, discomfort during examinations, and pain in the pelvic area. These symptoms can be indicative of several underlying conditions, and it is crucial to approach them systematically.

Firstly, the symptoms of itching and yellow-green discharge could suggest a possible infection, such as bacterial vaginosis or a sexually transmitted infection (STI) like trichomoniasis. These conditions can cause inflammation and discomfort in the vaginal area. The presence of a swollen cervix and discomfort during internal examinations may also indicate an inflammatory process, which could be linked to an infection or other gynecological issues.

It is essential to communicate openly with your healthcare provider about your symptoms. If you feel that your current provider is not addressing your concerns adequately, it may be beneficial to seek a second opinion. Finding a gynecologist who is patient and willing to listen to your concerns can make a significant difference in your comfort and the quality of care you receive. You deserve to have your questions answered and your symptoms taken seriously.

Regarding the use of medications such as suppositories, it is important to follow your doctor's instructions, but if you are not experiencing relief or if your symptoms worsen, you should inform your healthcare provider. They may need to reassess your condition and consider alternative treatments. It is also important to ensure that any medications you are using are appropriate for your specific diagnosis.

In terms of the discomfort you are experiencing during examinations, it is not uncommon for patients to feel anxious or uncomfortable, especially if they have had negative experiences in the past. You might consider discussing your feelings with your doctor before the examination. They may be able to take steps to make the process more comfortable for you, such as using a smaller speculum or allowing you to take breaks during the examination.

The pain in your groin and the bleeding from the rectum are concerning symptoms that should not be overlooked. These could indicate a more serious condition that requires further investigation. It is advisable to seek immediate medical attention if you experience severe pain, significant bleeding, or any other alarming symptoms.

In summary, navigating gynecological issues requires a proactive approach. Here are some steps you can take:
1. Seek a Second Opinion: If you feel uncomfortable with your current provider, look for another gynecologist who is known for being thorough and compassionate.

2. Document Your Symptoms: Keep a detailed record of your symptoms, including their frequency, duration, and any triggers you notice. This information can be invaluable for your healthcare provider.

3. Communicate Openly: Don’t hesitate to express your concerns and discomfort during examinations. A good doctor will appreciate your honesty and work with you to make the experience better.

4. Follow Up on Tests: Ensure that you receive the results of any tests, such as Pap smears or cultures, and understand what they mean for your health.

5. Consider Lifestyle Factors: Sometimes, lifestyle changes such as stress management, dietary adjustments, and regular exercise can help alleviate some symptoms.

6. Be Proactive About Your Health: If symptoms persist or worsen, advocate for yourself by seeking further evaluation or treatment options.

Remember, your health is paramount, and you have the right to receive care that respects your concerns and addresses your symptoms comprehensively.

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