HomeAnswersObstetrics and Gynecologyvaginal disordersWhy does it pain in my genitals when I urinate?

Why does it pain in my genitals when I urinate?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At January 2, 2018
Reviewed AtJanuary 22, 2024

Patient's Query

Hello doctor,

I had sex after a long time the day before yesterday. Today whenever I am going to the washroom to urinate, it is burning and somewhat paining. Please suggest what to do and what can be the reason behind it?

Answered by Dr. Balakrishnan R

Hello,

Welcome to icliniq.com.

The symptoms sound like some vaginal infection. Vaginal infection is transmitted during sex (so partner is the source) so both have to be treated at a time or else you will get infected the next time of sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at beginning of sex due to dryness (as the lubrication will be reduced) late towards the end when fully erect penis touches the innermost vagina due to inflammation of the structures around the uterus with pain radiating to the back and thighs. Associated with infection, the bowel movement is also affected. There are also features of gastritis.

Bleeding of periods will be thicker, darker, clots and fleshy masses like, may smell bad, more days with spotting after the periods too. When you have an infection inside the uterus, the blood flow increases as the inner lining is inflamed and the blood mixed with the inner lining of uterus form a thick, doughy or fleshy mass. As the healing of the lining is not complete, it keeps spotting or you have blood stained discharge. Pain is throbbing even before periods and it lasts after periods are over too. Usually, the infection is mixed and not just due to yeast fungus. There will be a family of aerobic and anaerobic bacteria, all of which cannot be detected on culture. When one is treated and cleared, other will grow and if not fully treated, it will regrow. Before starting the treatment, confirm that you are not pregnant. I suggest you and your partner have the following: Consult your specialist doctor, discuss with him or her and with their consent take the medicines mentioned below.

1. Tablet Fluconazole 150 mg stat only one tablet with no repetition after lunch.

2. Tablet Azithromycin 1 gm stat only one tablet with no repetition one hour before food.

3. Tab Secnidazole Forte two tablets stat with no repetition after dinner.

All these on the same day by both of you. I suggest you can also have capsule Doxycycline 100 mg twice a day for one week, vaginal wash with V Wash (Lactic Acid Formulation) or similar cleanser twice a day and a vaginal pessary. Also, capsule Clingen Forte (Clindamycin, Clotrimazole, and Tinidazole) or Candid-CL (Clindamycin Topical and Clotrimazole Topical) or Cansoft-CL (Clindamycin and Clotrimazole) once at night for five nights. Your partner can have a local application of an antibiotic and antifungal cream Candid-B (Beclometasone Topical and Clotrimazole Topical) or Candiderma cream (Beclometasone Topical, Clotrimazole Topical, Neomycin Topical) or Lobate GM (Clobetasol Topical, Miconazole Topical, and Neomycin Topical) on the penis twice a day after wash for seven days.

Do not have sex until the infection is fully gone.

Patient's Query

Thank you doctor,

I used proper protection and we cleaned up before and after the intercourse. My partner did the same. We still fail to understand what went wrong. My periods had ended just the day we had sex. Could this have had any impact?

Answered by Dr. Balakrishnan R

Hello,

Welcome back to icliniq.com.

There is no relationship to the day of periods. No matter how clean you and your partner were, there will be some mix up of secretions of genital fluids, which can cause infections. Other possibilities I can think of are:

1. If you were having sex after a long time, there can be few minute tears in the vaginal wall which can be irritating you.

2. If you are allergic to latex or the material of condom or the spermicidal gel or any new type of condom.

3. If you feel like this infection is not severe, just have a vaginal wash with V Wash (lactic acid formulation) or IntiWash (lactic acid, sea buckthorn oil, and tea tree oil) or HiWash or Gynact (Leuprolide/Leuprorelin) twice a day for seven days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines.

Do wash after the bath and before going to bed, both the outer and as far as possible in the vagina gently. You can also use vaginal suppositories. You will be relieved within two to three days.

Patient's Query

Thank you doctor,

I have got the first three medicines: Fluconazole 150 mg, Secnidazole 1 g, and Azicip 500 mg. Kindly suggest their intake once again.Also, the pain while urinating has increased.

Answered by Dr. Balakrishnan R

Hello,

Welcome back to icliniq.com.

I suggest you take tablet Azicip (Azithromycin) before food, Fluconazole after food, and Secnidazole at bedtime. You need to have lots of water and fluids like juice or milk or barley water or curd and keep passing urine frequently. So, the infection will flow out. At bedtime, use suppositories too. You can also use the vaginal washes that I have mentioned. If you feel pain in the lower abdominal area, you can use a painkiller like Meftal Spas (Dicyclomine and Mefenamic Acid) or Cyclopam (Dicyclomine and Paracetamol) and Mensospa (Ashwagandha, Natural Calcium, Soy isoflavones and Shukti bhasma). Consult your specialist doctor, discuss with him or her and with their consent take the medicines.

Do not worry. Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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