STD Symptoms in Women

face-01This article will focus on the possible STD symptoms women can get when their vagina is exposed to possible infection.

This includes allowing their partner to insert his penis into the vagina, allowing their partner to use his/her mouth on the vagina, allowing their partner to insert any objects into the vagina including fingers and sex toys.

Click here for STD symptoms in receptive Oral Sex – i.e. using her mouth on the partner’s genitals or anus

Click here for STD symptoms in receptive Anal Sex – i.e. allowing her partner to insert his penis into the anus

It is extremely important to remember that not all STDs cause symptoms in women.

One of the commonest and most important STD in women is Chlamydia. 80% of women infected with Chlamydia show no symptoms. Without treatment, it slowly damages the Fallopian tubes and can cause infertility. Sadly, many women only find out they have Chlamydia when they have problem getting pregnant. By then it could be too late. Women under the age of 24 are also more likely to get Chlamydia infection because their Cervix has not matured yet. Currently, all young women are encouraged to get regular (at least once per year) Chlamydia screening.

Another very important and common STD in women is HPV. Just like Chlamydia, most women who get infected with HPV do not show any symptoms. This can lead to Cervical Cancer. All sexually active women must get screened for HPV and are also very much encouraged to get a HPV vaccine.

Now let’s discuss the possible STD symptoms in women.

You can basically classify the symptoms into 5 groups:

1. Urinary symptoms – Burning pain passing urine, going to the toilet very often etc

2. Vaginal Discharge – Abnormal discharge from the vagina especially colored or foul smelling

3. Sexual Symptoms – Pain during sex, bleeding after sex

4. Skin Symptoms – Ulcers, Blisters, Growth, Itch etc

5. General Symptoms – Fever, Swollen lymph nodes, lower abdominal pain

1. Urinary Symptoms

This is one of the most STD symptom in women. Women can get pain or a burning sensation passing urine. They can also feel like they need to go to the toilet all the time. The symptoms actually feel very much like a bladder infection or a urine tract infection.

Sometimes, women get an ulcer on the labia from Herpes. So when they pass urine, the urine flows pass this ulcer causing pain. This can also feel like ‘pain when passing urine’.

Who are the culprits?

Chlamydia

Gonorrhea

– NSU, Ureaplasma, Mycoplasma

Herpes

When do these symptoms usually appear?

Remember that most women will not get any symptoms in the first place. For those who do get symptoms, they usually appear within 2 weeks of infection. Although it can be as early as 2 days and as late as 1 month from the day of infection.

Thick white vaginal discharge typical of yeast

Thick white vaginal discharge typical of yeast

2. Vaginal Discharge

This is easily the most common symptom women get from STDs. Sometimes it is hard to tell apart from a normal discharge. If the discharge smells bad or has an odd color like green or yellow, it is more likely to be an STD. A quick guide is as follows:

Yellow and thick – Gonorrhea (STD)

White and thick – Yeast (not STD)

Green and smells like fish – Trichomonas (STD)

Grey and thin – Gardnerella (not STD)

Yellowish and thin – Chlamydia (STD)

Often, discharge caused by infections do not follow these ‘textbook’ descriptions. The lesson here is you can never be 100% sure what is causing the discharge unless you get a test.

Who are the culprits?

Chlamydia

Gonorrhea

– NSU, Ureaplasma, Mycoplasma

Trichomonas

When do these symptoms usually appear?

The usual guide is 3 to 30 days. Gonorrhea usually appears much sooner. Usually within a week. Chlamydia usually appears at about 2 weeks.

3. Sexual Symptoms

– Pain during sex. During sexual intercourse, the penis usually gently hits the cervix. This should not be painful. But if the Cervix is inflamed, usually due to an STD, this can be rather painful. In fact, if the Cervix is very sensitive and tender, this could mean that the woman has PID (Pelvic Inflammatory Disease). This is very dangerous.

– Bleeding during or after sex. It is very common for the vagina to suffer mild abrasions and tears during intercourse and this can cause some bleeding. However, if there is an infection, the lining of the vagina will be very fragile and can break easily causing more bleeding. Also, if the Cervix is infected with HPV, it may be already turning into pre-cancer. When this happens, the Cervix will bleed much more easily especially when the penis is hitting it during intercourse.

Who are the culprits?

Chlamydia

Gonorrhea

– NSU, Ureaplasma, Mycoplasma

– HPV

When do these symptoms usually appear?

This is extremely variable. It can be as early as within a few days to months.

Skin colored cauliflower growths typical of warts (HPV)

Skin colored cauliflower growths typical of warts (HPV)

4. Skin Symptoms

– Ulcers. These are breaks or craters on the skin. They are usually white. If they are small, multiple and painful, they are likely to be caused by Herpes. If there is only 1 large painless ulcer, it is likely to be Syphilis. If it is 1 large painful ulcer especially if the lymph nodes in the groin crease are also enlarged and painful, it is like to be a Chancroid caused by the bacteria called Haemophilus Ducreyi. Sometimes, these ulcers can appear inside the vagina which makes it impossible for you to see. Only your doctor will be able to see it with an internal examination. If these ulcers are painless, like the ones due to Syphilis, you might never know you had it.

– Blisters. These are little fluid filled bubbles on the skin. If they are multiple and painful and burst to form ulcers, they are very likely to be caused by Herpes.

– Growths. Growths on the skin are usually indicate of an STD. These growth can occur anywhere including the pubic region, on the labia and even in the vagina. Sometimes they can be difficult to see. If the growths are skin colored and have an uneven surface (like a cauliflower), it is like to be a wart caused by HPV. If the growths look like little pearls stuck onto the skin, it is probably caused by Molluscum Contagiosum Virus.

Itch. Itching can be on the skin or inside the vagina. Itching on the skin can be caused by lice or scabies. The itching caused by this is usually very severe and worse at night. Itching in the vagina can be extremely uncomfortable and can be caused by Trichomonas. However, the commonest cause of vaginal itching is still by far a yeast infection.

Who are the culprits?

Herpes

Syphilis

– Haemophilus Ducreyi

Molluscum Contagiosum Virus

Trichomonas

– HPV

When do the symptoms usually appear?

Syphilis 9 to 90 days. Herpes 1 week or months. HPV commonly 3 to 6 months but can be as early as a week.

5. General Symptoms

– Fever. This symptom is really too general to be useful. In fact, very few STDs aside from HIV actually cause a fever. So if you do have a fever, more likely than not, it has absolutely nothing to do with any STD.

– Swollen Lymph Nodes. When an area is infected, the lymph nodes will swell as part of the body’s natural reaction to help fight the infection. So if there is any infection in the vagina or pelvic region, the lymph nodes along the groin crease will likely swell and may even be a little tender. This can occur with almost any STD including Syphilis, Gonorrhea, Chlamydia, Chancroid etc. Basically, if you notice swollen and tender lumps in your groin crease, it would be best to see your doctor asap.

– Lower abdominal pain. STDs that infect the vagina can also infect the cervix. The infection can go even further up to infect the womb (Uterus) and the Fallopian tubes. Once past the Fallopian tubes, the infection is in the pelvis and can lead to Pelvic Inflammatory Disease. Any of these conditions can cause pain in the lower tummy, just above the pubic bone. This is usually caused by Chlamydia but can also be caused by Gonorrhea, NSU, Ureaplasma, Mycoplasma etc

Who are the culprits?

Herpes

Syphilis

Gonorrhea

Chlamydia

– NSU, Ureaplasma, Mycoplasma

When do the symptoms usually appear?

Syphilis 9 to 90 days. Gonorrhea and Chlamydia can cause symptoms in as early as 3 days from infection but can take 2 weeks or even a month to show. Sometimes, they do not show any symptoms at all.

So what to do now?

Get tested!

If you have any of the above symptoms, get tested asap. Even if you do not have any symptoms, get tested.

Many STDs do not show any symptoms and can damage your body permanently. Do not wait until it is too late.

Click here for details on STD screening for Women
Click here to see the full range of our HIV/STD Services
Click here for our full range of Women’s Health Services

For lady patients who prefer female doctors, we have  professional certified female Doctors to attend to your medical needs.


Click Here for Contact Details, Address and Opening Times.

Explore our blog. We have lots of great information for you!

Click here to learn about Contraception.
Click here to learn about Vaginal Discharge.
Click here to learn about Vaginal Itching
Click here to learn about the Cervical Cancer Vaccine
Click here to learn about HIV and STDs
Click here to learn about Abnormal Vaginal Bleeding

and much more!


We are Open on Saturdays and Sundays.

Click Here for Contact Details, Address and Opening Times.

Feel free to email your queries, feedback and suggestions on what other topics you want to see in the comments section below.

We are now Open on Weekends.

We have 5 locations conveniently located at Robertson Walk, Bencoolen Street, Novena, Scotts (Pacific Plaza) and Somerset (H&M)

Robertson Walk          6238 7810   map

Bencoolen Street        6884 4119   map

Novena                           63972095   map

Scotts                              66942348   map

Somerset                       62620762   map

Email: doctor@drtanandpartners.com


www.womens-health.sg

Women’s Health Forum

Hey Gal friends! Our lady doctors have launched a health forum specially for women only!

If you have health tips or you need health advices, join us.

For Women. From Women

Join in the discussion!

About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.

Find the profiles of our panel of doctors.

20 Comments

  1. a month ago after sleeping with my partner (using protection) I had an infection with white cottageish discharge, with thrush and a sensation when passing urine which was never painful… after my period it stopped and went back to normal no pain and normal discharge, we met again and he complained of an itch… is it possible it’s an std or a just an infection

    • Your symptoms sound like a fungal infection. However, you should still see a doctor to get tests done to verify the diagnosis.

  2. Joselyn Del Valle

    I’ve been having this thick greenish vaginal discharge and itching for 4 months, and dont have medical coverage and I’m taking metronidazole.

  3. Charlie salva

    Hi , I had intercourse for my first time 2 days ago , protected. The morning after I had a little bit of blood and this morning I had the same problem . This is the only time I have blood . And I don’t have any pain peeing

    • Very likely the bleeding is from your broken hymen. I really do not see a reason for you to be worried. This will stop after a few days. But it may happen again the next time you have sex as the hymen may not be completely broken.

      • Brookelyn

        Dr.tan please help I’m 11 and I have noticed I have had a pimple like dohicki on my vagina and its sore and I have secents coming from (down below) that SME
        L terribul please help and I have not had my period and I’m virgin please help I’m in pain and I act like I’m during so I get introubble and don’t worry my mom knows I have that dohicki on my vagina

  4. hi doc,am worried icud be hiv positive…imisbehaved thrice,without acd,ihave white tongue,with red bumps towards the throat on the tongu…ifirst putt on extremely alot of weight,ave heard aprolonged flu….now am loosing tooo much weight and it scares me…ihave had two tests and came out negative…advise…am sooo worried…

    • Please check with your doctor about the accuracy of your tests. This depends on what tests were done and the window period. If your doctor determines that the tests are already conclusive, you do not have to be worried about HIV anymore. I don’t think you should pay too much heed to your symptoms. Simply because you cannot rely on symptoms to diagnose HIV.

  5. Hi doc.
    I had sex last dec.28..and after a week I felt something in my vigana..its so itchy… Until now..

    • There could be several reasons. You could have an infection like an STD or a non-STD infection like yeast of BV. You could also be recovering from tears and abrasions in the vagina.

  6. hi, ive been paranoid since last week, cause i cant pee, when im peeing, theres a burning sensation(but now its gone) but i cant still pee properly. Since i have my period until now, i cant see my urine, but i drink lots of water. Idk if its UTI only but i searched about STD i got the same symptoms! Now idk what is this im feeling right now. Since i read all about stds i became more paranoid. But the other major symptoms of std, i didnt got that. Help me please 🙁

    • You are right to have concluded that the most common cause for your symptoms are UTI or STD. Rarer causes include bladder stones. Please see your doctor and get some tests done.

      • If i give them my urine example, would they be notice if i have STD or not?

  7. hi, i’ve been diagnosed with gardnerella and ureaplasma. would you consider them as stds, and would my partner need to be checked as well?

    • Gardnerella is not an STD. It causes bacterial vaginosis. Ureaplasma is a bit of a contorversy. It can be sexually transmitted but it can also occur out of the blue in mutually monogmaous couples. My personal stand for men is if it does not cause symptoms, don’t treat it.

      • Jen noble

        hi doc.
        I just want to ask something if how much its cost if I just check for ghonorya,shiphilis,hiv herpes and clamydia..?

        • Consultation $60 to $80
          Chlamydia and Gonorrhea $188
          Syphilis $50
          HIV Antibody $50
          HIV Combo $200

          All prices before GST

          • da lst tym i hd sex wit ma b.f…i felt da pain on ma virgina & after a dae,i started 2 hv rash on ma virgina…after dat a smelly thick whitish yeast came out….du i hv HIV & STD,did i gt t frm him??plzz help

          • Dr Justin Sim

            It sounds like you have a yeast infection for sure but I cannot exclude HIV and other STDs. You would need testing to be sure.

Trackbacks/Pingbacks

  1. Throat Gonorrhea | Men's Health - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click…
  2. HPV Test for Men | Men's Health - […] Click here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women […]
  3. What is STD: STD Genernal Information Singapore | STD - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  4. Getting HIV from Oral Sex | HIV - […] here for Info on STD Symptoms in MenClick here for Info on STD Symptoms in WomenClick here for Info…
  5. STD Symptoms in the Mouth | STD - […] Click here for STD symptoms in Women […]
  6. When to test for HIV during and after completion of PEP | HIV - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  7. Updates on HIV testing Window Period | HIV - […] Information on HIV tests available at Our Clinics. Click here for Info on STD Symptoms in Men Click here…
  8. STD Treatment Services | STD - […] STD Symptoms in Women […]
  9. Sexually Transmitted Diseases (STD) Syndromes Overview | HIV - […] Women You can basically classify the symptoms into 5 groups: 1.) Urinary symptoms – Burning pain passing urine, going…
  10. Rapid Anonymous HIV Combo Test at our clinic | HIV - […] here to see the full range of our HIV/STD Services Click here for Info on STD Symptoms in Men…
  11. Vaginal itching: a common problem of the young and old | GP Services - […] Click here for Info on STD Symptoms in Women […]
  12. HIV Aids Symptoms in Men and Women in Singapore | HIV - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  13. HIV Post Exposure Prophylaxis | HIV - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  14. HIV 4th Generation Test Singapore | HIV - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  15. STD Testing Screening Doctor and Cost | Singapore Clinic Dr Tan And Partners | GP Services - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  16. HIV Testing Screening at Singapore Clinic | Dr Tan And Partners | HIV - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  17. Anonymous HIV AIDS Testing Clinic Singapore | Dr Tan And Partners | GP Services - […] Click here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women […]
  18. HIV Combo Duo Test P24 Ag/Ab | Singapore Clinic Dr Tan And Partners | HIV - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  19. Condom Broke! | GP Services - […] here for Info on STD Symptoms in Men Click here for Info on STD Symptoms in Women Click here…
  20. Vaginal Discharge With Blood Before Period | GP Services - […] Click here for Info on STD Symptoms in Women […]

Leave a Comment