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Why do I have pain during intercourse, spotting after, and burning on urination?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have pain during intercourse. I have spotting after having burning urine. I have chronic pain and it is getting worse. I am taking birth control pills. I consulted a doctor and they told me that I do not have any STI or STD.

Answered by Dr. Sravanthi Nuthalapati

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

If the infections are ruled out, then chronic pain can occur due to a condition called endometriosis. You can have severe pain during periods. In worse cases, you have pain while passing motion or while having sexual intercourse. Do an ultrasound to rule out endometriotic cysts. Have a physical examination by consulting a gynecologist to look at your cervix to find the cause of post-coital spotting. As there is burning during urination, then it can be due to urinary tract infection. Do a urine culture and sensitivity testing. Drink plenty of water. You can start taking appropriate antibiotics after knowing the results of the sensitivity test.

Investigations to be done

You need to do ultrasound abdomen and pelvis, urine routine and microscopy, and urine culture and sensitivity.

Differential diagnosis

You can have UTI (urinary tract infection) or endometriosis.

Treatment plan

Treatment can be taken after having proper evaluation and diagnosis is reached.

Preventive measures

Drink plenty of water. Take three to four US quarts per day.
Medically reviewed by Dr. Sneha Kannan
Published At June 8, 2020
Reviewed At September 1, 2023

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

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