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Hello doctor,
A few months now, I have been experiencing discomfort and bleeding after being fingered. It does not really happen during sexual intercourse though. I have an urge to urinate even after urinating. And it stings and the urine will sometimes come out at different random times. I have had two UTI’s which I have felt the urine sensation before but the bleeding is what I am most concerned about. Also we always use protection. Why am I experiencing bleeding and discomfort after being fingered?
I am currently taking Lamotrigine and Adderall.
Hello,
Welcome to icliniq.com.
Have you noticed the bleeding while you urinate also? Or else only after fingering?
In view of your past episodes of UTI (urinary tract infection) it seems the same has recurred again as suggested by the pain after urinating. On top of that since women's urethral opening and the vagina are very near fingering might spread the infection there also and some injury during the fingering might have caused the bleeding.
Please take the following medications, and refrain from fingering and sexual activity until the pain, bleeding and UTI subsides. Meanwhile, do the following test to confirm urinary infection. Also, please attach the previous prescription where Lamotrigine and Adderall were prescribed. Do you have discharge per vagina and pain during intercourse as well?
Urine for routine and microscopic examination and culture sensitivity test. Vaginal swab for culture sensitivity. USG (ultrasound) lower abdomen and pelvis with PVRU (postvoid residual urine).
Treatment plan:Tablet Nitrofurantoin modified release 100 mg 1 tablet twice daily after breakfast and dinner, Tranexamic acid 500 mg 1 tablet twice a day SOS if there is bleeding . Syrup Urinary alkalinizer (Disodium hydrogen Citrate) two teaspoons with one glass water twice a day.
Preventive measures:Avoid fingering and sexual intercourse until bleeding and pain subsides. If at all sexual intercourse is done do it with a condom. Drink plenty of water and oral fluids. Avoid holding urine. Before urinating sanitize your toilet seats. Maintain hygiene at private parts.
Regarding follow up:With urine RE, ME, and CS reports.
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