Vaginal Itching and Pain After Unprotected Sex - Obstetrics and Gynecology

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Itchy below???


On Wednesday, there were four instances of unprotected sexual intercourse (the fourth involved ejaculation, and the first three included anal play).
By Friday, I noticed an itch in the genital area, which seemed like vaginal itching (though I'm not sure).
By Saturday morning, I felt the urge to urinate but was unable to do so, and there was a stinging sensation during urination along with slight bleeding.
What could be the cause of this?

Nìmíng, 20~29 year old female. Ask Date: 2007/07/07

Dr. Zhou Dali reply Obstetrics and Gynecology


It is recommended to visit a nearby gynecology clinic for an examination.

Reply Date: 2007/07/07

More Info


Experiencing vaginal itching and pain after unprotected sex can be concerning and may indicate several underlying issues. Based on your description, it seems that you may be dealing with a potential vaginal infection or irritation, especially considering the recent unprotected sexual encounters.

Firstly, the itching you are experiencing could be a sign of a yeast infection or bacterial vaginosis. Both conditions can arise after sexual activity, particularly if there was a change in your normal vaginal flora. Yeast infections are often characterized by intense itching, a thick white discharge, and irritation, while bacterial vaginosis may present with a fishy odor and a thin gray or white discharge. It’s important to note that these infections can occur even if you have not had symptoms previously.

The symptoms of pain during urination and the presence of slight bleeding could indicate a urinary tract infection (UTI). UTIs can occur after sexual intercourse, especially if bacteria from the vaginal area are introduced into the urinary tract. Symptoms of a UTI typically include a burning sensation during urination, frequent urges to urinate, and sometimes blood in the urine. The irritation and inflammation caused by the infection can also lead to discomfort in the vaginal area.

Given that you mentioned engaging in anal intercourse as well, it’s worth noting that bacteria from the anal region can easily be transferred to the vaginal area, increasing the risk of infections. It’s crucial to practice safe sex, including the use of condoms, to reduce the risk of sexually transmitted infections (STIs) and other complications.

In light of these symptoms, it is advisable to seek medical attention promptly. A healthcare provider can perform a thorough examination, including a pelvic exam, and may conduct tests such as a urine analysis or vaginal swab to determine the exact cause of your symptoms. Treatment will depend on the diagnosis; for instance, yeast infections can often be treated with antifungal medications, while bacterial infections may require antibiotics.

In the meantime, here are some self-care tips that may help alleviate your discomfort:
1. Avoid Irritants: Steer clear of scented soaps, douches, and feminine hygiene sprays, as these can further irritate the vaginal area.

2. Stay Hydrated: Drink plenty of water to help flush out any potential bacteria and reduce irritation during urination.

3. Wear Loose Clothing: Opt for breathable cotton underwear and avoid tight-fitting clothes to minimize irritation.

4. Practice Good Hygiene: After sexual activity, urinate to help flush out any bacteria that may have entered the urinary tract.

5. Avoid Sexual Activity: Until you have seen a healthcare provider and received a diagnosis, it may be wise to refrain from sexual activity to prevent further irritation or potential transmission of infections.

In conclusion, while your symptoms may be indicative of a common infection, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a quicker recovery.

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