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How to know is it vaginal infection or STI
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STDs & Related Infections
Question #11625
46 days ago
169

How to know is it vaginal infection or STI - #11625

Sneha Karmakar

I'm suffering from itching at my vagina and burning during pee since 4 months. This problem is started before period or after period. Please confirm me what kind of problem is it I'm 20 years old and I am sexually active and I have one partner in my life

Age: 20
Chronic illnesses: No
Itching
Burning during pee
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
39 days ago
5

Hello Sneha, thank you for sharing your concern. What you are explaining seems like a Urinary Tract Infection. Here is advise and prescription from my side -

Drink plenty of fluids (5 Litres/day) Tab. Oflox + OZ twice a day × 7 days Cap. Pantop + DSR before breakfast × 7 days Syp. Urine Alkalinizer 2tsp + water thrice a day × 7 days Tab. Paracetamol 500mg if you have fever. Clotrimazole Vaginal Pessary 500mg at night only once.

I see you also noticed some blood in your urine, so you should consider getting these tests done - CBC, Urine (routine, microscopy, culture), Ultrasound Abdomen+Pelvis, PT-INR. You can discuss the reports with me.

Feel free to reach out.

Regards, Dr. Nirav Jain MBBS, DNB D Fam.Med

163 answered questions
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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.
39 days ago
5

Hello, You may be suffering from vaginal infection with urinary infection.

Get these tests done: 1. CBC 2. Urine-r/m 3. Urine-c/s

Take these medicines: 1. Syrup Alkasol 2tsp in 1/2 glass water twice daily for 3 days 2. Tablet Meftla-spas twice daily for 3 days 3. Tablet Fluconazole 150mg once only 4. Tab Secnidazole 2gm once only 5. Maintain local hygiene 6. Avoid intercourse for 5 days 7. Drink 1.5-2 lit./day

Follow up with reports. Take care

178 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
38 days ago
5

Hello dear See as per clinical history it seems vaginal infection probably fungal Iam suggesting some medications and precautions Kindly follow them for atleast 15 days Topical Antifungals powders-Clotrimazole- Candid/clomed/clozed. Micogel to be applied topically Nizoral for Skin application Terbinafine 250 mg twice a day for 5 days ( oral) Itraconazole -Sporanox ( on prescription by general physician only) Fusidic acid/lulliconazole topical 3-4 times for 5 days In addition, following preventive measures should be taken Dry the involved organ Prevent moisture contamination Some medications are harmful so regular liver function tests are must especially for itraconazole In case of no improvement consult general physician or dermatologist for further improvement

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
42 days ago
5

Hello Don’t worry you will get fine Its basically uti infection… for which you need a longer treatment… as it’s been active for so long and avoid intercourse for some time . Can you describe more brief other symptoms so that i can prescribe you medicine

81 answered questions
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2 replies
Sneha Karmakar
Client
42 days ago

Today in morning I’m suffering from blood in urine. After this the burning during pee has decreased

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
42 days ago
5

Yes it mostly because of uti too… You can take Tab. Cefixime 200 mg( cefspan) - bd ( two time a day… one in morning and one at night after food) Tab Paracetamol -sos if fever Cap pantop dsr - od ( daily morning empty stomach) × 7 days …

81 answered questions
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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
40 days ago
5

Most likely recurrent vaginal candidiasis with possible UTI component, triggered around periods. Needs a urine test + vaginal swab to confirm. Treatment is usually with antifungals (fluconazole/clotrimazole) and supportive care.

This could be fungal infection.

807 answered questions
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Determining whether your symptoms are due to a vaginal infection or a sexually transmitted infection (STI) requires considering several factors. Itching and burning during urination can result from conditions like yeast infections, bacterial vaginosis, or STIs. Since you mentioned the timing of your symptoms around your period, there could be a hormonal component affecting vaginal pH, making you more susceptible to infections. Yeast infections often present with itching, redness, and sometimes a thick white discharge. Bacterial vaginosis might cause a fishy odor and a thin gray discharge. Both are common and linked to imbalances in your vaginal flora rather than sexual activity. However, since you are sexually active, and these symptoms persist, STIs like chlamydia, gonorrhea, or trichomoniasis should be considered. These can cause persistent symptoms like you’re experiencing. It’s crucial to get tested to rule out these possibilities, as untreated STIs can lead to significant health issues. Schedule an appointment with your healthcare provider for a proper examination, swabs, and possibly urine tests. They can provide the necessary diagnostics to pinpoint the cause and prescribe appropriate treatment. Until then, avoid douching or harsh soaps around the vaginal area, which might worsen the irritation. Safe practices, like condom use, should be considered to reduce STI risk, even with a single partner. If your symptoms are severe, or if you experience fever, abdominal pain, or unusual discharge, seek medical attention promptly. These could indicate a more serious underlying condition requiring immediate care.

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