Concerns About Unusual Symptoms After Sexual Activity: What to Know

Q: Concerns About Unusual Symptoms After Sexual Activity: What to Know

Dear User： Hello! Based on the detailed symptoms you described in your letter, it is highly likely that you have a gonococcal sexually transmitted infection. <br>I recommend that you visit a nearby obstetrics and gynecology clinic as soon as possible to confirm the diagnosis and

I am very worried?

I'm sorry to hear about your situation.
About a month ago, I had sexual intercourse, and afterward, I noticed some blood.
I had sex again in the afternoon, and a few days later, I noticed an increase in my discharge, which changed color to yellow and had an unpleasant odor.
Sometimes after intercourse, when I go to the bathroom the next morning, I notice something that feels like blood, and it also has a bad smell.
There is itching, and I feel a burning sensation when urinating.
Occasionally, I feel discomfort in my lower abdomen.
Recently, after my period ended, I still have a lot of discharge with a smell (if I don't use a panty liner, my underwear gets wet within half a day, and it doesn't dry, and it's not during ovulation), which makes me feel very uncomfortable and distressed.
Since I had sexual intercourse with my new boyfriend, I'm worried that I might have contracted a sexually transmitted infection (STI).
I don't want my family to know that I've had sexual intercourse, so I'm hesitant to see a doctor, but I'm very concerned.
Based on what I've described, can you help me understand what might be happening? Sometimes after intercourse, I experience pain in my lower abdomen; could this be due to not eating or from vigorous activity? During one encounter, my partner mentioned feeling something in my vagina; could that have been my cervix? I apologize for having many questions, and I hope you don't mind.
Is it possible, as my friend suggested, that changes in diet and stress are related to my symptoms? However, I feel that this might not be the case.

Diguameimei, 10~19 year old female. Ask Date: 2004/03/02

Dr. Chen Changfu reply Obstetrics and Gynecology

Dear User: Hello! Based on the detailed symptoms you described in your letter, it is highly likely that you have a gonococcal sexually transmitted infection.
I recommend that you visit a nearby obstetrics and gynecology clinic as soon as possible to confirm the diagnosis and initiate treatment.
Prolonged or vigorous sexual activity may lead to pelvic congestion in women, resulting in temporary lower abdominal pain.
The mass you felt in the vagina is likely the cervix; you should ask the physician to perform a pelvic examination to ensure there are no other abnormal tumors in the vagina.

Reply Date: 2004/03/02

More Info

It's understandable to feel anxious and concerned after experiencing unusual symptoms following sexual activity. Based on your description, it seems you are facing several troubling signs, including changes in discharge, potential bleeding, discomfort, and unusual odors. Let's break down your symptoms and discuss what steps you should take.

Firstly, the presence of blood in your discharge, especially after sexual activity, can be concerning. This could be due to several reasons, including irritation or trauma to the vaginal walls, especially if the intercourse was vigorous. It’s also possible that you could be experiencing a vaginal infection, such as bacterial vaginosis or a sexually transmitted infection (STI), which can cause changes in discharge, odor, and discomfort.

The yellowish discharge with an unpleasant odor is particularly indicative of a possible infection. Infections can lead to inflammation, which might explain the burning sensation during urination and the discomfort in your lower abdomen. It's essential to note that STIs, such as chlamydia or gonorrhea, can present with similar symptoms, and they often require medical treatment.

Regarding the sensation of something being felt in your vagina during intercourse, it could indeed be the cervix, which is the lower part of the uterus. However, if there is any unusual growth or lump, it could also indicate other conditions that need to be evaluated by a healthcare professional.

Your concerns about the possibility of having contracted an STI are valid, especially considering the changes in your discharge and the discomfort you are experiencing. It's crucial to remember that many STIs can be asymptomatic, meaning you might not show symptoms even if you are infected. Therefore, getting tested is the best way to ensure your health and peace of mind.

You mentioned feeling hesitant to discuss your situation with family or friends, which is common. However, seeking medical advice is essential. A healthcare provider can offer a confidential and non-judgmental environment to discuss your symptoms and concerns. They can perform necessary tests, such as a pelvic exam and lab tests for STIs, to determine the cause of your symptoms.

In the meantime, here are some general recommendations:
1. Avoid Sexual Activity: Until you have been evaluated by a healthcare professional, it’s advisable to refrain from sexual intercourse to prevent potential transmission of any infections.

2. Maintain Hygiene: Keep the genital area clean and dry. Avoid using scented products or douches, as these can irritate the area further.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the color and odor of your discharge, any pain during urination, or abdominal discomfort.

4. Seek Medical Attention: Make an appointment with a healthcare provider as soon as possible. They can provide a thorough examination and appropriate treatment if necessary.

5. Discuss Concerns Openly: If you have a partner, consider discussing your symptoms with them, as they may also need to be tested or treated.

In conclusion, while it can be daunting to face these symptoms, taking proactive steps towards your health is crucial. Remember, healthcare professionals are there to help you, and addressing these issues sooner rather than later can lead to better outcomes. Don't hesitate to seek the help you need.

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