Vaginal pain with urination could be urinary tract infection. The precaution to be taken are to drink plenty of water, drink cranberry juice, which inhibits E. coli from adhering to the bladder. Tablets containing cranberry and hibiscus extracts are available. Take probiotic supplements which will maintain the health of the gastrointestinal tract and immunity. Antibiotics can be taken after taking the urine routine and the urine culture sensitivity. Hormone replacement therapy can be done in postmenopausal or premenopausal women where in the repeated urinary tract infection is due to vaginal dryness due to lack of estrogen. Drink plenty of water before and after the intercourse. Use pH maintaining feminine washes. Take probiotics containing lactobacilli, then in the washroom, wash from front to back, not from back to front as reverse washing can cause the bacteria from the anal region will enter into the urethral region. Mild bleeding after intercourse. We need or rule out local causes of the cervix like cervical erosions, cervical polyps, cervical cancers. Also intermittent bleeding can be to hormonal imbalance due to polycystic ovarian disease. Do a pap smear regularly. Once the woman is sexually active, she needs to do a pap smear every year and once the pap smears are normal, they can do it every fourth yearly.
