
I Have Been Having Some Uncomforable Feelings Down There. Sometimes

STI is the likely cause of your symptoms, bladder cancer, and interstitial cystitis are less likely- details below
Detailed Answer:
Hello and welcome to "Ask A Doctor" service,
I carefully read your query and understand your concern.
Based on the history and the symptoms you explain it is more likely you have an STI. Bladder cancer and interstitial cystitis are unlikely because:
- Bladder cancer is more common after the age of 60 and much more common in men than in women. Patients with bladder cancer have blood in the urine (painless hematuria) and later in the disease, they develop urinary symptoms such as frequency, burning, and pain.
- Interstitial cystitis is a pain in the lower urinary tract for at least 6 weeks but without any infection.
So, in your case, due to the urinary symptoms and increased vaginal secretions, and because the symptoms started right after having a new sexual partner, the most likely diagnosis is an STI. The fact that your partner has been diagnosed with chlamydia infection further supports this.
It is good you are going to have the antibiotics for chlamydia infection. It is important to get the full course of it and avoid sexual intercourse during treatment. Your partner/s need to be treated at the same time you are getting treated.
It is advisable to be checked for other sexually transmitted infections as STI tend to walk together, which means if the patient is exposed to one STI, he/she may have other STIs as well.
So, I would recommend you to talk to your doctor and have the following tests:
- Cervical samples for NAAT examination for gonorrhea and trichomonas
- Blood tests for HIV, syphilis and Hep B
- You will need to discuss with your doctor the routine screening with a Pap smear to see if you are up to date with this as well
I hope this answers your query.
I remain at your disposal for further medical assistance.
Regards,
Dr. Antoneta Zotaj
General and Family Physician

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