[18F] Experiencing recurrent vaginal swelling and itching

Patient Description

An 18-year-old female is experiencing swelling and itching inside the vagina. The symptoms began with itchiness two days before the swelling started. The swelling has progressively worsened since it began yesterday, but the itching has lessened, likely due to the use of a yeast infection cream. The swelling is described as soft and was significant enough to prevent the insertion of a Monistat 7 applicator. The patient reports that similar symptoms occurred a month ago, accompanied by yellow discharge and itching, which resolved with the onset of menstruation. The current episode has no discharge, and the patient's period is expected to start in two days. The patient has regular menstrual cycles lasting about five days. She recently completed a course of Clindamycin for a pilonidal cyst. There is no history of sexually transmitted infections, no recent changes in diet or hygiene products, no chronic illnesses, and no known allergies.

Show More

Arora's Assessment

What might be happening

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

  • Yeast Infection (Vaginal Candidiasis): This is a common fungal infection that can cause itching, swelling, and discomfort in the vaginal area. The fact that your symptoms improved with Monistat 7, an antifungal cream, suggests that a yeast infection could be the cause. Yeast infections can sometimes recur, especially after antibiotic use, as antibiotics can disrupt the natural balance of bacteria and yeast in the vagina.

    • Treatment: Over-the-counter antifungal creams like Monistat are commonly used to treat yeast infections. If symptoms persist, a healthcare provider may prescribe a stronger antifungal medication.
  • Hormonal Changes: The timing of your symptoms in relation to your menstrual cycle suggests that hormonal changes might be playing a role. Some women experience changes in vaginal discharge and swelling due to hormonal fluctuations before their period.

    • Treatment: Monitoring your symptoms in relation to your menstrual cycle can help determine if hormones are a contributing factor.
  • Bacterial Vaginosis (BV): Although you currently have no discharge, BV is another common vaginal condition that can cause similar symptoms. It occurs when there's an imbalance in the natural bacteria in the vagina.

    • Treatment: BV is typically treated with antibiotics prescribed by a healthcare provider.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Continue Using Monistat 7: Since it has helped reduce the itching, continue using it as directed to see if it further alleviates your symptoms.
  2. Avoid Irritants: Steer clear of scented soaps, douches, and other potential irritants that could exacerbate your symptoms.
  3. Wear Loose, Breathable Clothing: Opt for cotton underwear and loose-fitting clothes to reduce moisture and irritation.
  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and note any patterns related to your menstrual cycle. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Persistent or Worsening Symptoms: If your symptoms do not improve with over-the-counter treatment or worsen, it's important to see a healthcare provider.
  • New or Unusual Symptoms: If you develop new symptoms such as a strong odor, unusual discharge, or pain, consult a healthcare provider.
  • Recurrent Infections: If you experience frequent yeast infections, a healthcare provider can help determine the underlying cause and recommend appropriate treatment.

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

Show More

1
 Hugs
0
 Comments

Save

1 mo ago

People Also Ask


What are the common symptoms of a yeast infection?

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


Can antibiotics cause yeast infections?

Yes, antibiotics can cause yeast infections. They can disrupt the natural balance of bacteria and yeast in the vagina, allowing yeast to overgrow and cause an infection.


How can hormonal changes affect vaginal health?

Hormonal changes, especially those related to the menstrual cycle, can affect vaginal health by altering the balance of bacteria and yeast. This can lead to symptoms like changes in discharge, swelling, and itching.


What is the difference between a yeast infection and bacterial vaginosis?

A yeast infection is caused by an overgrowth of yeast, leading to symptoms like itching and thick discharge. Bacterial vaginosis (BV) is caused by an imbalance of bacteria in the vagina and often results in a thin, grayish discharge with a fishy odor. Both conditions require different treatments.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback