Question: hi, in the last 2 months roughly i have had ibs-like symptoms, which i think are a development from interstitial cystitis (i had 2 bacterial cystitis infections in a row prior to these symptoms, and i've gone through the same cycle a couple of years back). i also had some unprotected sex, for which i had std tests done - swab, and blood and they've come back clear. as i've mostly been sticking to the ic diet and also avoiding histamine producing foods, i haven't really had much pain/discomfort, just lower abdominal bloating/swelling, and sometimes feels like some of my uro-genital? tubes are tight?. i also do a lot of yoga and visited an acupuncturist a few times. what's worrying though is i have been expelling small amounts of air from my vagina. sometimes when i urinate, sometimes when i expel gas or whenever. i thought this stopped for a week about 3 weeks ago, then i had sex again and has come back. not sure if related. i've had a renal ultrasound where the person doing the scan said he could not see anything unusual in my bladder/kidneys. i may take the results to a urologist in 3 weeks time (i'm off on holidays for a couple of weeks - bad timing), but wondering if i should see a gynaecologist instead? a fistula seems to be the most obvious answer, but shouldn't i be in more pain, or shouldn't my urine test positive for e coli if this is the case? since this started i have done a couple of home urine tests which came out positive for white blood cells but negative fr nitrites. or could i have pelvic inflammatory disease of some sort, missed in all the testing i did, in which case i should see a gyno? incidentally i have developed a sore throat and slight fever in the last 2 days but i seem to be on the mend. thoughts please?