Unusual Vaginal Discharge and Odor After Unprotected Sex

The underwear is dry, but there is a light yellow discharge from deep within the vagina, and there is a strong odor during intercourse?

Hello, Doctor! I have been maintaining a sexually active relationship with my only boyfriend.
During our last intimate encounter, we had unprotected sex, and I took emergency contraception afterward.
My menstrual period just ended a little over a week ago, but suddenly, five days later, I started bleeding again, which lasted for five days before stopping.
My boyfriend mentioned that it’s not easy to get pregnant right after a period, even without protection.

We noticed some unusual symptoms during intercourse: 1.
There was a secretion that felt very glue-like, making my hands sticky and having a fishy odor (which is quite different from the usual lubrication during arousal).
Initially, I thought it was a normal occurrence after my period, possibly due to not being completely clean.
Then I started feeling 2.
a dull ache in my abdomen, slight lower back pain, and frequent urination, but my underwear remained dry with no discharge.
After three days of the same situation, I used a cotton swab in my vagina and found it very wet when I took it out.
3.
There was a light yellow purulent fluid that was very faint and could only be seen clearly under light, with a strange and strong tissue fluid odor.

Today, I hurried to see a doctor.
During the pelvic exam, the doctor inserted her fingers into my vagina and pressed on my abdomen, which caused slight pain.
She mentioned seeing yellow purulent fluid in the vagina, but it didn’t seem very serious.
She said they would need to run tests to find out more and asked me to wait for the results.
She prescribed Zithromax, instructing me to take four tablets at once.
I am really worried about what could be causing these symptoms.
Could you please provide some advice? Thank you!

Xiao Ke Ai, 20~29 year old female. Ask Date: 2016/03/02

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is more likely that you have vaginitis.
It is recommended to follow your physician's treatment, maintain cleanliness and dryness in the perineal area, avoid tight clothing, ensure adequate sleep, eat a light diet, and minimize stress and prolonged sitting.
Taking a sitz bath may help relieve symptoms.
Additionally, please pay attention to contraception.
If symptoms persist, you should seek further evaluation and treatment from your physician.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/03/02

More Info

It sounds like you are experiencing a concerning situation following unprotected sexual intercourse, and I understand how distressing this can be. Based on your description, there are several factors to consider regarding your symptoms, which include unusual vaginal discharge, odor, abdominal discomfort, and changes in your menstrual cycle.

Firstly, the presence of a thick, glue-like discharge with a strong odor can be indicative of a few different conditions. One possibility is a bacterial vaginosis (BV), which is caused by an imbalance in the normal bacteria found in the vagina. BV can lead to a fishy odor and unusual discharge, often described as thin and grayish. Another possibility is a sexually transmitted infection (STI), such as chlamydia or gonorrhea, which can also cause abnormal discharge and abdominal pain. The fact that you mentioned the discharge is yellow and has a strong odor raises the suspicion of an infection that may require further evaluation.

The abdominal discomfort and frequent urination you are experiencing could also be related to an infection, particularly if there is inflammation of the reproductive organs or urinary tract. It's important to note that STIs can sometimes present with mild or no symptoms, which is why regular screenings are recommended for sexually active individuals, especially when engaging in unprotected sex.

Regarding your concern about pregnancy, while your boyfriend mentioned that it is less likely to conceive immediately after menstruation, it is still possible to become pregnant if ovulation occurs earlier than expected. The use of emergency contraception (the "morning-after pill") can help reduce the risk of pregnancy if taken within the appropriate time frame after unprotected intercourse.

You mentioned that your doctor has prescribed Zithromax (azithromycin), which is an antibiotic commonly used to treat certain bacterial infections, including some STIs. It's crucial to complete the full course of antibiotics as prescribed, even if your symptoms improve. Additionally, it is advisable to inform your partner about your symptoms and encourage them to get tested as well, as some STIs can be asymptomatic in men.

While waiting for your test results, it is essential to monitor your symptoms closely. If you experience worsening symptoms, such as increased pain, fever, or any new symptoms, you should seek medical attention promptly.
In terms of prevention for the future, consider discussing with your partner the importance of using condoms consistently to reduce the risk of STIs and unintended pregnancies. Regular STI screenings and open communication about sexual health with your partner are also key components of a healthy sexual relationship.

Lastly, if you have any lingering concerns or questions about your health, do not hesitate to reach out to your healthcare provider for further guidance. They can provide you with the necessary support and information tailored to your specific situation. Remember, taking care of your sexual health is an important aspect of overall well-being.

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