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Gynecology

Symptoms experienced after intercourse

05/07/2007

Question:

In 2002 i had a baby at my 6 wk checuo i was told that i had Ghonarea (sure it`s mispelled) I was given a shot although the nurse said that i should question my dr since i had a healthy baby and it would be almost impossible to get that STD. My GYN didnt want to re-test me instead she simply gave me a shot and send me on my way. In august 2006 i was told i had herpes (bad blisters and all) the doctor said that it could have been from many years ago although i explained that i refrained from sex for 5yrs. After being told that it could have been a dormant STD by so many i began taking Valtrex. But it seems that at times when i have intimacy with my husand i get a smelly odor and clear discharge i already had a Vaginal Infection last month after so many years. Can This be an STD that im not aware of??

Answer:

It is not at all impossible to have gonorrhea while pregnant. The cervix is exposed to infection with or without pregnancy. I am not sure what the nurse meant, but I would consider discussing with the doctor that you are getting mixed messages from the staff. Although false positives are possible, retesting is at the discretion of the physician. Herpes can remain dormant in the body for several years (more than 5) before having a recurrence. Valtrex, taken daily, can prevent recurrent outbreaks. It is not recommended for all patients infected with herpes, only those who have frequent outbreaks in a given year. As for your current situation with vaginal discharge and odor after intercourse, I can't tell whether or not it is an STD without an exam. More likely, it is an imbalance of the normal bacteria causing Bacterial Vaginosis. When the alkaline (low acidity) of the semen comes into contact with the vaginal discharge, it causes the release of chemicals that cause odor. You should be examined by your physician who can determine if it is this, and/or an STD.

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Response by:

No longer associated Thomas A deHoop, MD
Formerly Associate Professor of Clinical Obstetrics and Gynecology
Director, Medical Student Education
No longer associated
Thomas  A deHoop, MD