Thinkstock

The area “down there” doesn’t always behave the way you’d expect it to. And sometimes, trouble can crop up at the most frustrating or embarrassing times—like intimate moments with your partner. But however ill-timed these interruptions may seem, your body is trying to tell you something important. “During sex is when many women first notice pain in their genitals, or rashes, bleeding and other potential signs of health trouble,” says Michele Curtis, MD, a professor of obstetrics and gynecology at the University of Texas at Houston. “And though you may feel awkward discussing these symptoms, it’s essential to see your doctor right away and describe where the problems are located and how frequently they occur.” While most pain can be linked to treatable conditions, such as those stemming from infection and ovulation, other sources of problems can be chronic and much more serious, which is why it’s vital to monitor your body and communicate with your doctor. Read on to learn about seven common symptoms you should never ignore—and what they mean for your health.

1. Vaginal Discharge

“When you ovulate in the middle of your menstrual cycle and your body is most fertile, your vagina secretes clear to slightly cloudy fluid that is more copious than at other times of the month,” says Sandra Reed, MD, a spokeswoman for the American Congress of Obstetricians and Gynecologists who is based in Thomasville, GA. While this type of vaginal discharge is perfectly healthy, other types are cause for concern. For example, if the fluid is clotted, clumpy and white, like cottage cheese, the problem is likely a yeast infection. This is the result of an overgrowth of a fungus called candida, which is always present in the vagina. Stress, illness, taking drugs like antibiotics and steroids, and sometimes, health problems such as diabetes can cause the overgrowth. Yeast infections affect three out of four women at some point in their lives, and can be passed between sexual partners if not treated immediately. Vaginal discharge can also signal a sexually transmitted infection (STI), including gonorrhea (marked by greenish-yellow fluid), trichomoniasis (in which the discharge is usually frothy), or Chlamydia (which can cause excessive, clear-to-white discharge). “Make sure to treat STIs right away, as they can be dangerous for you and your partner, especially if they spread and their symptoms worsen,” says Leandro Mena, MD, an infectious disease specialist at the University of Mississippi Medical Center in Jackson and a spokesman for the American Social Health Association.

2. Itchy Rash

If your genital area is inflamed and itchy, you likely have some form of vulval dermatitis, which is an allergic reaction to an irritant that could be anything from shower gel to synthetic underwear fibers. “Sometimes rashes manifest after sex because women may be allergic to latex condoms, lubricants or spermicidal creams,” says Dr. Curtis. “They can even be allergic to their partner’s urine, sweat or sperm.” A rash could also signal herpes, an STI causing sporadic outbreaks that usually begin with a tingling sensation and then erupt into small red bumps or white blisters. “Herpes affects 16 percent of people, but 80 percent of carriers don’t realize they have it because they have no visible signs, and symptoms can vary from person to person,” says Dr. Mena. “If you or your partner has herpes symptoms, abstain from intercourse and see your doctor right away.” It’s crucial for pregnant women to get herpes treatment because they can transmit the infection to infants during childbirth. It’s also important to get continued treatment to prevent or minimize future herpes outbreaks; herpes is most contagious during visible outbreaks, even though those outbreaks may change and become less severe over time. Another possible cause of itchy rash is lichen sclerosus, a rare skin condition that causes patchy white skin mostly on the genital and anal areas. The condition causes skin on those areas to thin out and tear more easily, sometimes leading to scarring. Prompt diagnosis and treatment (usually with cortisone creams and ointments) is essential. Left unchecked, lichen sclerosus can cause the genitals to become malformed, making it painful to have sex and difficult to urinate.

3. Burning Sensation

If you need to urinate with alarming frequency and it’s extremely painful, bacteria, in the form of a urinary tract infection, might be to blame. “Frequent intercourse can boost your risk of UTIs, and can increase the pain that they cause,” says Dr. Curtis. “Sex can also move the infection up to your bladder, causing a more serious infection called cystitis.” In rare cases, burning sensations are a sign of vulvodynia, chronic pain in the vulva that can be caused by infection (such as repeated yeast or candida outbreaks), trauma (such as pelvic surgery that damages the nerves and causes them to feel continued pain) or an unidentifiable trigger. This condition, which affects 1 percent of U.S. women, can cause pain not just during sex but also while a woman is walking, using the bathroom or even just resting. Most often, vulvodynia is treated with medication, biofeedback therapy or local anesthetics. In some cases where localized vulvodynia is present surgery is performed as a last resort to remove inflamed nerves.