1. One of the most common symptoms of a rectovaginal fistula can include pus, gas, and stool which is passed from your vagina. You may also experience vaginal bleeding with bowel movement, and this can be mild or severe. Although this may seem very embarrassing it is a symptom that you need to discuss with your physician, because the cause can be a serious medical problem.
2. If you have a rectovaginal fistula you may also notice a vaginal discharge which is very foul smelling. An enterocutaneous fistula can also develop which is noticeable on the outside of your body, and this can leak a fluid that is disgusting and smells putrid as well.
3. You may notice that you get urinary tract and vaginal infections which occur frequently, or do not seem to completely resolve even with medications. This can be a sign of a rectovaginal fistula which requires medical treatment. The infections are caused by bacteria from your digestive tract and bowels entering your vagina.
4. Bowel movements that are urgent, blood on toilet paper after bowel movement, and an inability to hold your bowel movements can all be symptoms of a fistula that is connecting your rectal and vaginal regions.
5. A rectovaginal fistula can cause pain during sexual intercourse, and also pain in your perineum, vulva, and vaginal area. This pain can range from none or very mild to extremely severe, depending on the size and location of the fistula.
6. Rectal itching and bleeding can be a sign of a fistula or other conditions. If you notice vaginal bleeding after bowel movements this can also be a sign that you may have a fistula and need to be evaluated by your physician.
7. Pelvic inflammatory disease that does not go away can be a sign of a rectovaginal fistula. This infection can be caused by bacteria, which is commonly present in your bowel. If the bacteria frequently comes into contact with your vaginal area the bacteria can travel through your abdomen and pelvis spreading infection.