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Suggest Treatment For Acute Uterine Bleeding And UTI

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Posted on Fri, 10 Oct 2014
Question: Dear Doctor,
​
My doctor said I have AUB, UTI. I need second opinion please.

I am experiencing blood during intercourse but not always. This starts May 2014-present. FYI: I was taking contraceltive pills from May-July.

By July 2014, I consulted with my OB GYNE. She did a pap smear and the result is normal. Though she thinks that the blood I am experiencing during intercourse might have been caused from the 10 o'clock location on my cervix. It bleeds easily. As a treatment, she gave me Candid V6.

I went back to her August because I still experience blood during intercourse. Hence, she gave me again Candid V6, because on my cervix she saw that the 10 o'clock is gone but now it is the 6 o'clock on my cervix​ that bleeds easily. Also, she has been asking me to take folic acid supplements and fish oil. She also gave me a feminine wash, naFlora protect.

​Aside from this, I told her that I am experiencing small external hemorrhoids due to constipation. She gave me faktu suppository. ​
​
​September, I went back to her because I still experience blood during intercourse after using Candid V6, two times. This time she asked me to undergo TVS, Urinalysis & CBC (Blood Test). I have attached the results. 
​​
​Here is my record:

​Month of AUGUST

​Aug. 10 - 1st day of menstruation. No intercourse.

Aug. 26 - Ovulation. Had intercourse. Withdrawal method. No blood seen, no smell.

Aug. 30 - ​Had intercourse. ​My partner cummed inside. No blood seen, no smell.​

​Month of SEPTEMBER

Sept. 4 - Had intercourse. Foul smell (smells like a rotten fish). With blood.

Sept. 5 ​- Had intercourse. My partner cummed inside. ​No blood seen, no smell.

​Sept. 6 ​- Had intercourse. Foul smell (smells like a rotten fish). With blood.

​Sept. 8 - No intercourse​. Spotting. Smelly. Strong smell (smells like a rotten fish).

Sept. 9 - No intercourse​. Spotting.
​
Smelly. Strong smell (smells like a rotten fish).

​Sept. 10 - 1st day of menstruation. No intercourse.

​Sept. 12 - End ​of menstruation. No intercourse.

​Sept. 13 - Spotting​. Smells like old blood.

Sept. 14 - Spotting​. Smells like old blood. Pain on the upper right corner of my lower abdomen. On-Off, shooting pain. When it pains, the pain goes until my vagina. I feel like that. 

​Sept. 15 - Very minimal spotting. Smell lessen.

​Sept. 16 - No spotting. Brown color discharge. Smell lessen.

Sept. 17 - ​​No spotting. Brown color discharge. Smell lessen.

Sept. 18 - Had intercourse. No blood. Little smell.

Can you please help me? Based on my record stated above and the attached results, what is my health condition? What should I do?

Thank you! Your kind and quick response will be very much appreciated.
doctor
Answered by Dr. Soumya (31 minutes later)
Brief Answer:
High vaginal swab

Detailed Answer:
Hello,

Welcome to healthcare Magic.

I have gone through your query and Would like to reply in detail as follows:

1. You seem to have developed cervical erosion.

2. This is the reason you have bleeding after intercourse once in a while and also smell.

3. It is possible that it is infection leading to erosion and hence foul smell.

4. Get high vaginal swab test done to know the organism infecting and the treatment possible.

I hope your doubt is clarified. Let me know if you wish any other information.

Regards,
Dr. Soumya
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Soumya (2 hours later)
Hi thank you very much. I like your answer but whatdo you think about my urinalysis? Do I have UTI or what? Kindly see attahed results.
doctor
Answered by Dr. Soumya (52 minutes later)
Brief Answer:
No

Detailed Answer:
Hi,

I have gone through your reports. It is unlikely to be urinary tract infection.

It is vaginal infection.

Get the test as above and take medicines.

You will be fine.

Regards
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Soumya (33 minutes later)
Vaginal infection is the reason why there are traces of blood on my urine seen on the microscope?
doctor
Answered by Dr. Soumya (2 hours later)
Brief Answer:
Yes

Detailed Answer:
Hi,

Traces of blood is possible due to UTI. It needs to be treated too. Get urine culture and sensitivity test done to know the organism infecting.


Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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Suggest Treatment For Acute Uterine Bleeding And UTI

Brief Answer: High vaginal swab Detailed Answer: Hello, Welcome to healthcare Magic. I have gone through your query and Would like to reply in detail as follows: 1. You seem to have developed cervical erosion. 2. This is the reason you have bleeding after intercourse once in a while and also smell. 3. It is possible that it is infection leading to erosion and hence foul smell. 4. Get high vaginal swab test done to know the organism infecting and the treatment possible. I hope your doubt is clarified. Let me know if you wish any other information. Regards, Dr. Soumya