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However, when symptoms do appear, they may include: Unusual vaginal discharge (different color, smell, or texture) Burning or stinging when you urinate Pain during intercourse Bleeding between your periods or after intercourse Pain in your lower abdomen or pelvis More painful periods than usual These symptoms can feel like a urinary tract infection (UTI) or just period-related changes

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Further study is necessary in order to determine whether this operating definition is equal to or better than the classic definition in terms of classifying the phenotype and determining patient-reported outcomes

Overuse can lead to tolerance build-up or adverse effects