Hi doctor,
I experience pain inside my vagina when I urinate. I also have stomach and lower back pain. Please help.
Hi,
Welcome to icliniq.com.
Thank you for your query.
It could be urine or pelvic or sexually transmitted infection. I suggest a urinalysis, urine culture, and a high vaginal swab. Serum beta-human chorionic gonadotropin can help confirm pregnancy if there is no menstrual history. A transvaginal scan to exclude pelvic pathology and a cervical smear will also be done.
If positive, have a transvaginal scan by expert hands and repeat beta human chorionic gonadotropin to check pregnancy progression. In case of pain and bleeding with a positive pregnancy test, report to tertiary care gynecology emergency.
After collecting swabs, if a negative pregnancy test, I suggest you take a tablet of Doxycycline 100 mg twice daily and a tablet of Metronidazole 400 mg 8 hourly for 14 days. Then, consult a specialist doctor, discuss with them, and take the medication with their consent.
Please follow up for further assistance.
Thank you.
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