u/treecrystal

Hi all, I will try to make this as short and sweet as I possibly can. I am reposting in other subreddits that I think are revelant in order to gain more reach, apologies if that is not allowed; I will remove reposts if deemed necessary :)

Any advice from anyone who recognises these experiences is greatly appreciated.

CONTEXT:

- I (F25, Australia) started being sexually active for the first time in early June. I have only had two sexual partners so far. I slept with each partner only once. The first partner was in early June and the second partner was in early July. I haven't been sexually active since the second partner in July. Both were protected except for July partner where the condom slipped twice. As far as I was concerned, both had tested negative for common STI's.

- Can provide pictures of discharge if need be.

Early July
- A few days after the second partner from July, I displayed classic UTI symptoms; urgency to pee, still feeling like I needed to pee even after going, pain when urinating (I didn't pee after sex that time, so that was probably the reason as to how I acquired it) and was prescribed a 7 day course of thrimethoprim. Symptoms cleared.

- This was also where the profuse yellow discharge started; no unsual or strong odour, stretchy and quite mucosal like snot (lol) about 3 days after sleeping with July man. It was suspected thrush so I was put on 6 day clotrimazole pessary. After I finished the pessary tablets, it cleared but then came back about 4 days later.

Mid/End of July
- I left it due to a busy schedule and it was about 10 days before I went back to the doctors as it was still present and I started to feel like it was something else. Doctor was adamant it was BV even though it didn't meet the "usual" criteria for BV (thin, gray or white vaginal discharge, a strong fish-like odor) but prescribed me metronidazole. I'm aware that infections can present differently across many but I asked to be tested for chlamydia, gonorrhoea, mycoplasma genitalium, HIV, syphilis, hep B, hep C; all negative except for chlamydia. I am also aware of window periods vs. incubation but I felt like it was time for me to get somewhat of a "routine" STI check as it was nearing 6 weeks since my first sexual encounter in June.

Early August
- Safe to assume the positive chlamydia result was probably the cause for this abnormal yellow discharge. It appeared within the two week window of sleeping with the July man and he also tested positive after I notified him. I notified June man and he tested negative. I was put on a 2x tablet a day, 7 day course of doxycycline.

Mid August
- After a few days on doxycycline, the abnormal yellow discharge reduced and subsided but then a day after finishing treatment, it came back as if it never left.

- 2 days after finishing the last doxycycline tablet, I started displaying symptoms of a UTI again; urgency to pee, still feeling like I needed to pee even after going, pain when urinating but this time blood had appeared and I know it wasn't my period because I had finished it a week prior.

- Went back to the doctors and did a throat swab + urine sample for chlamydia and gonorrhoea (I know the recommended time to do a test-of-cure for chlamydia is 4 weeks after finishing treatment but the doctor gave me a swab testing kit anyway for peace of mind; I will do another test-of-cure at the recommended time to ensure it's fully cleared) as well as mycoplasma genitalium, trichomoniasis and a general vaginal MCS. We also did a urine MCS. Chlamydia was cleared and everything was negative except it came back positive for a UTI and I went on a 3 day course for trimethoprim. Experienced chills, nausea and felt hot (It's winter where I am) on the first day of taking trimethoprim and took panadol, felt fine after. After 3 days on trimethoprim, UTI symptoms cleared.

WHERE I'M AT:

- This morning I started displaying classic UTI symptoms again; feeling like I need to pee again even after urinating as well as slight pain/discomfort when urinating. My urine is also super yellow almost like the colour of mountain dew but I am terrible with my water intake as well as not peeing as often as I should, so there's my answer I suppose regarding the frequent UTI's. Have scheduled a telehealth consult for today to see if they want me back on antibiotics.

- Profuse yellow discharge ebs and flows depending on the day, seems to be a lot when I wake up or after arousal but subsides during the day. This isn't my normal discharge, prior to both sexual encounters, it used to be clearish and minimal or "normal" amount.

MY QUERY:

- There's definitely something not quite right or an infection/inflammation of some sort; if I have tested negative for chlamydia (will retest end of August or first week of September for a more accurate test-of-cure), gonorrhoea, mycoplasma genitalium and trichomoniasis and it's all negative then what is it that's causing this profuse yellow discharge? Any opinions on whether I should test for BV, thrush, ureaplasma or maybe some form of cervicitis or PID? Or is this just a normal physiological change/altered vaginal flora since becoming sexually active? Or maybe residual discharge from the chlamydia after treatment? Which is what my doctor suggested.

- My only symptom is this profuse yellow discharge, again no unsual or strong odour, there's definitely a smell but it's not foul or offensive. It's stretchy and quite mucosal like snot and the amount equates to about 1/4 of a teaspoon. And then from this morning, now I am displaying the classic UTI symptoms again. I have not or am not experiencing any deep lower abdominal or pelvic pain.

Just exhausted at this point. I feel like I'm scheduling consults or vising the GP every week or so, wasting their time and resources. If anyone has been in a similar situation, any help would be greatly appreciated :)

UPDATE 24/08/26:

- Spoke to my GP and they said it's most likely a great shift in my vaginal microbiome due to all the antibiotics I've been on in the last two months (7 day course of trimethoprim for the UTI, 7 day course of doxycycline for chlamydia, 3 day course of metronidazole for suspected BV, as well as another 3 day course of trimethoprim for another UTI) + the chlamydia, 3 bouts of a UTI in the last two months and 1 bout of thrush. Just a lot in such a short amount of time. I asked to add aerobic vaginitis and ureaplasma to the test referral but for some reason (I can't remember why) they didn't think it was necessary...

- They've put me back on a 7 day course of trimethoprim for the UTI. Has asked me to swab for chlamydia and gonorrhoea again to ensure it's neither. Has also asked me to do a MCS swab again to see if it grows anything. They said to wait until those results come back and then we might do a cervical screen and go from there. If anyone is interested, I will keep this post updated.