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what I have std or pid and prescribe medicines
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STDs & Related Infections
Question #11526
215 days ago
337

what I have std or pid and prescribe medicines - #11526

Richa

I’m regularly getting white discharge-problem since 3 years sometimes it stops but most of the time it’s there i was in the sexual relationship 3 years back been intimate with one partner for more than 15 times since than i have this problem now being intimate is painful, abnormal pain in pelvic area , white discharge and odour problem is it a pid aur std and what medicines should i take!!

Age: 21
Pain and weakness
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Doctors' responses

Dr. Kunal Meena
I am someone who got to work in a government setup for 1 full year, and honestly that one year felt more like 3... in a good way. It was a rotational post, which meant I had to shift across wards, ICU, OT, and even casualty — no chance to get too comfortable in one place. Every few weeks brought new responsibilities, new types of patients, and yeah, new kinds of pressure too. In casualty I saw a lot — from road traffic injuries to sudden breathlessness, fevers that wouldn’t come down, old patients just collapsing... and you don’t get time to overthink, you just act. You learn fast where to focus. I also handled geriatric OPD and that was a different kind of challenge. Older patients need more listening, more patience. Most come with multiple issues — joint pain, sugar, BP, digestion, insomnia — and sometimes they just want to talk too. You realize pretty quick that care isn’t only treatment. ICU postings taught me to stay alert all the time. Alarms don’t wait. I had to assist in serious cases, learn to track vitals, respond to sudden dips, push meds under supervision. OT experience was equally hands-on... mostly assisting but you pick up the flow of surgical steps, sterilization rules, emergency prep and post-op care that textbooks just can’t really explain. What I liked most about that whole year was the exposure — I wasn’t limited to one age group or one type of disease. From paediatric fevers to elderly fall injuries, from asthma attacks to appendicitis — saw a bit of everything. And the system might be hectic, but it teaches you how to function under pressure and still think clearly. That year gave me the kind of foundation you can’t just study. It was about real people, real-time decisions, and not just following protocol but also figuring out what works when there’s no perfect setup. Definitely made me sharper, more grounded, and honestly more ready for whatever comes next in clinical life.
215 days ago
5

symptoms are suggestive of pid kindly take the following medicine Doxycycline 100mg BD Metronidazole 500mg BD x 14 days Ceftriaxone 500mg single dose

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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
214 days ago
5

Hello Richa, Your symptoms suggest vaginal infection or PID.

Take these precautions and treatment: 1. Maintain local hygiene 2. Drink 1.5-2 lit. water per day 3. Take NACO KIT-6 that includes Tab. Cefixime 400mg once, Tab. Metronidazole 400mg twice daily for 14 days & Tab. Doxycycline 100mg twice daily for 14 days.
5. Avoid intercourse for 7 days. Afterwards, start using a lubricant or condoms while having intercourse to decrease pain. 6. Ask your sexual partner for any symptoms or lesions over genitals.

If you have any urinary complaint, then get Urine-r/m test done. If you find any lesion around your genitals, visit a gynaecologist for proper examination and management.

Take care

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It sounds like you might be dealing with a chronic condition that could be either a sexually transmitted infection (STI) or pelvic inflammatory disease (PID), particularly given the symptoms of persistent abnormal white discharge with odor, pelvic pain, and pain during intercourse. Both PID and certain STIs, like chlamydia or gonorrhea, can present with these symptoms, and it’s crucial to get a proper diagnosis to guide treatment. You should definitely see a healthcare provider for a thorough examination and necessary testing, which may include a pelvic exam, swabs for STI screening, and possibly an ultrasound if PID is suspected.

If indeed it is an STI, treatment typically involves antibiotics such as azithromycin or doxycycline, often in combination depending on resistance patterns or co-infections. For PID, the antibiotic regimen may be more intensive, often involving a combination therapy, like ceftriaxone, doxycycline, and metronidazole. It’s vital not to self-prescribe as inappropriate treatment can worsen the condition or lead to resistance.

Meanwhile, avoid sexual activity until you’ve been assessed and treated, to prevent transmission or further complications. Over-the-counter medications might help address some symptoms like mild pain or discomfort, but they are not a substitute for medical treatment. If symptoms like severe lower abdominal pain, dizziness, fever, or heavy bleeding occur, seek immediate medical care. Ensure your partner gets checked and treated if an STI is confirmed to prevent reinfection. Regular follow-up with your healthcare provider is crucial until symptoms completely resolve.

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