Conversation: The conversation between human and AI assistant.
[|Human|] I am a 33 year old girl. I am not sexually active although I am not a virgin . My partner and I don t have regular sex since he works abroad. When we are together, we have sex. I feel pain whenever we have sexual intercourse the first time. After the session is over, I get vaginal discharge which is brownish in colour. This happens whenever we have sex after a long time. Subsequent sessions become smooth later on. This time too, I had sex again for the first time after 8 years. Am i getting the pain because of having sex after a long time? Is the discharge brown due to blood? Is it a symptom of cancer?
[|AI|]  Although your pain can be explained by you having sex after a long time, but the vaginal discharge cannot be. It may or may not be blood. Both, the pain and the discharge maybe the result of a simple infection which is quite common in this age, or it may be due to cancer. Having multiple sex partners is one of the predisposing factors for cervix cancer which can present like this. If your partner is having sex with multiple partners then also you maybe predisposed to cancer even if you are not having sex with anyone else. I would advise you to take Tab. Fluconazole 150 mg twice daily and place a Clotrimazole pessary once daily in your vagina for a week. After that, you need to get a PAP smear done which will guide you in determining whether you have cancer or pre-cancer or nothing.