Gynecological Concerns: When to Seek Further Medical Advice - Obstetrics and Gynecology

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Gynecological issues


I would like to ask the doctor, I recently had a urinary tract infection and took antibiotics, which have improved my condition! However, my underwear still feels damp...
I'm not sure if it's because I held my urine at night, but now I sometimes feel a bit uncomfortable in the area below my uterus (could this be a cervical issue?).
I have not engaged in sexual intercourse yet.
I visited a gynecologist who performed an ultrasound and said there were no issues with my uterus or ovaries (although they didn't ask me to have a full bladder for the ultrasound).
I would like to know if I need to return for a follow-up appointment regarding this situation?

Kai, 20~29 year old female. Ask Date: 2016/01/11

Dr. Lin Wenbin reply Obstetrics and Gynecology


Yes, if there are still issues after the examination and treatment, it is necessary to return to the physician for further evaluation, as the condition may change at any time.

Reply Date: 2016/01/11

More Info


When it comes to gynecological concerns, it is essential to understand when to seek further medical advice. Based on your description, it seems you have experienced a urinary tract infection (UTI) in the past, for which you were treated with antibiotics. While your symptoms may have improved, the lingering discomfort and unusual discharge you are experiencing warrant further attention.

Firstly, the persistent wetness in your underwear could be attributed to several factors. After a UTI, it is not uncommon for some women to experience changes in vaginal discharge. The discharge can vary in consistency and color, and while some increase in moisture can be normal, it is essential to monitor for any changes that may indicate an underlying issue. If the discharge is clear to white and odorless, it may be normal, but if it becomes yellow, green, or has a foul odor, it could suggest an infection or other condition that requires medical evaluation.

Regarding the discomfort you feel in the lower abdomen, particularly near the cervix, it is crucial to consider that various factors could contribute to this sensation. While it is possible that the discomfort is related to the urinary tract or bladder, it could also be linked to other gynecological issues such as ovarian cysts, endometriosis, or even pelvic inflammatory disease (PID). Since you mentioned that you have not engaged in sexual intercourse, certain sexually transmitted infections (STIs) may be less likely, but they cannot be entirely ruled out without proper testing.

You mentioned that you had an ultrasound that showed no issues with your uterus or ovaries. However, if the discomfort persists or worsens, it is advisable to return to your healthcare provider for further evaluation. A follow-up visit could include a pelvic exam, additional imaging, or laboratory tests to rule out any infections or other conditions that may not have been evident during the initial examination.

In terms of your urinary habits, holding urine for extended periods can lead to bladder irritation and may contribute to discomfort. It is generally recommended to urinate when you feel the urge to prevent potential complications such as bladder infections or urinary retention.

In summary, while some changes in discharge and mild discomfort may resolve on their own, it is essential to remain vigilant about your symptoms. If you experience any worsening of your condition, new symptoms such as fever, chills, or significant pain, or if the discharge changes in color or odor, you should seek medical advice promptly. Regular check-ups with a gynecologist are vital for maintaining reproductive health, especially if you have concerns about your symptoms. Your health and comfort are paramount, and addressing any ongoing issues with a healthcare professional will provide you with the best guidance and care.

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