[18F] With genital swelling and discomfort post-unprotected intercourse

Patient Description

An 18-year-old female reports experiencing genital swelling, particularly in the clitoral and clitoral hood area, which started suddenly three days ago. The patient describes the pain as moderate, noticeable, and sometimes disruptive during class. She also reports pain during urination. The patient had unprotected intercourse recently and has no history of sexually transmitted infections (STIs) or recent exposure to new environments. There are no unusual odors, changes in the color of vaginal discharge, sores, blisters, or rashes in the genital area. The patient also mentioned frequent masturbation as a potential contributing factor.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Bacterial Vaginosis (BV): This is a common vaginal infection caused by an imbalance of bacteria. Symptoms can include swelling, pain, and unusual discharge. However, BV typically has a distinct fishy odor, which you did not mention.

    • Treatment: BV is usually treated with antibiotics prescribed by a healthcare provider.
  • Yeast Infection: This is another common cause of vaginal discomfort, characterized by itching, swelling, and sometimes a thick, white discharge. However, you mentioned that the itching has subsided.

    • Treatment: Over-the-counter antifungal creams or suppositories can be effective, but a healthcare provider can confirm the diagnosis and recommend the best treatment.
  • Sexually Transmitted Infections (STIs): Given your recent unprotected sexual activity, STIs such as chlamydia, gonorrhea, or herpes could be a possibility. These infections can cause swelling, pain, and discomfort during urination.

    • Treatment: STIs require specific treatments, usually antibiotics or antiviral medications, prescribed by a healthcare provider.
  • Physical Irritation: Frequent masturbation or other physical activities can sometimes cause irritation and swelling in the genital area.

    • Treatment: Reducing the frequency of the activity and using lubrication can help alleviate symptoms.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor for a formal diagnosis and appropriate treatment. They may perform tests to determine the exact cause of your symptoms.
  2. Maintain Good Hygiene: Keep the genital area clean and dry. Avoid using scented products that can cause irritation.
  3. Avoid Irritants: Refrain from using any new soaps, lotions, or other products in the genital area until you see a healthcare provider.
  4. Use Protection: In the future, using condoms can help prevent STIs and other infections.
  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe Pain: If the pain becomes severe or unbearable.
  • Fever or Chills: These could indicate a more serious infection.
  • Unusual Discharge: If you notice a strong odor, green or yellow discharge, or any other unusual changes.
  • Difficulty Urinating: If you find it increasingly painful or difficult to urinate.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare provider for a formal diagnosis and treatment.

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4 mo ago

People Also Ask


What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include itching, swelling, redness in the vaginal area, and a thick, white discharge that resembles cottage cheese. Some people may also experience pain during intercourse or urination.


How can unprotected intercourse lead to genital swelling?

Unprotected intercourse can lead to genital swelling due to the potential transmission of sexually transmitted infections (STIs) such as chlamydia, gonorrhea, or herpes. These infections can cause inflammation, pain, and discomfort in the genital area.


What are the potential risks of frequent masturbation?

Frequent masturbation can sometimes lead to physical irritation or swelling in the genital area due to friction. This can be alleviated by reducing the frequency of the activity and using lubrication to minimize irritation.


When should I see a doctor for genital swelling?

You should see a doctor for genital swelling if the pain becomes severe, if you experience fever or chills, if there is unusual discharge with a strong odor, or if you have difficulty urinating. These could indicate a more serious condition that requires medical attention.


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