[18F] Experiencing abnormal vaginal discharge

Patient Description

An 18-year-old female presents with a large amount of brownish-yellowish discharge that is slightly dry and waxy in texture. The discharge has been constant for the past few days and is accompanied by a slight odor and genital itching. The patient also reports dysuria, characterized by a burning sensation when urinating. There is no associated fever, severe lower abdominal pain, nausea, vomiting, or blood in the discharge. The patient has one sexual partner and does not use protection. There is no prior history of similar symptoms. No other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It happens when the normal balance of bacteria in the vagina is disrupted and replaced by an overgrowth of certain bacteria. Symptoms can include a thin, gray, white or green vaginal discharge, a foul-smelling "fishy" vaginal odor, vaginal itching, and burning during urination.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Sexually Transmitted Infections (STIs): Certain STIs, such as Chlamydia or Gonorrhea, can cause changes in vaginal discharge. These infections are often transmitted through sexual contact.

    • Treatment typically involves antibiotics. It's important for both you and your partner to be treated to prevent reinfection.
  • Yeast Infection: This is a common fungal infection that can cause itching, burning, and changes in discharge. The discharge is typically thick, white, and "cottage cheese"-like, but it can also be watery or slightly yellow.

    • Treatment typically involves antifungal medication, which can be over-the-counter or prescribed by a healthcare provider.

What you can do

  1. Schedule an appointment with a healthcare provider: They can perform tests to determine the cause of your symptoms and prescribe appropriate treatment.
  2. Avoid sexual intercourse: Until you have been evaluated by a healthcare provider, it's best to avoid sexual intercourse to prevent potentially spreading an infection to your partner.
  3. Over-the-counter treatments: If you suspect a yeast infection, you could try an over-the-counter antifungal treatment. However, it's best to get a definitive diagnosis from a healthcare provider.

What you should look out for

  • If your symptoms worsen or do not improve after treatment, seek medical attention.
  • If you develop new symptoms such as pelvic pain, fever, or nausea, seek medical attention.

Please remember that while I strive to provide accurate information, I am not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of bacterial vaginosis?

Common symptoms of bacterial vaginosis include a thin, gray, white, or green vaginal discharge, a foul-smelling 'fishy' odor, vaginal itching, and burning during urination.


How can sexually transmitted infections affect vaginal discharge?

Sexually transmitted infections like Chlamydia or Gonorrhea can cause changes in vaginal discharge, often making it more abundant, discolored, or odorous. They can also cause other symptoms like burning during urination or pelvic pain.


What are the typical signs of a yeast infection?

Typical signs of a yeast infection include intense itching, burning, and changes in discharge, which is often thick, white, and 'cottage cheese'-like, but can also be watery or slightly yellow.


Why is it important to avoid sexual intercourse if you suspect an infection?

Avoiding sexual intercourse is important to prevent potentially spreading an infection to your partner and to avoid exacerbating your own symptoms until you have been properly diagnosed and treated.


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