[18F] With persistent vaginal substance

Patient Description

An 18-year-old female reports a persistent thick substance in the vaginal area, present since middle school. The substance does not cause itching but is sometimes associated with an unusual odor. There is no pain, discomfort, or change in color or consistency. The patient cleans the area with water daily. She has type 1 diabetes, diagnosed at age 3, and is not currently on any medications. She experienced an allergic reaction to an unspecified dermatological medication in the past. The patient has never engaged in sexual intercourse.

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Arora's Assessment

What might be happening

Based on your description, here are some possibilities:

  • Smegma: This is a natural substance made up of oils, skin cells, and moisture. It can accumulate around the clitoral area and vulva, especially if not cleaned regularly. It's not harmful but can cause odor if not cleaned.

  • Normal Vaginal Secretions: It's normal for the vagina to produce secretions that can vary in consistency. These secretions help keep the area clean and healthy.

  • Hygiene Practices: Since you clean the area with water daily, it might be helpful to ensure you're gently cleaning around the folds without using harsh soaps, which can irritate.

What you can do

  • Maintain Hygiene: Continue to clean the area gently with water. Avoid using scented products or harsh soaps.

  • Monitor for Changes: Keep an eye on any changes in color, consistency, or odor.

  • Consult a Healthcare Provider: If you're concerned or notice any changes, it might be helpful to consult a healthcare provider for a thorough evaluation.

  • Use MDandMe: Consider using MDandMe to journal any changes or symptoms, track your progress, and share notes with your healthcare provider.

What you should look out for

  • Unusual Symptoms: If you notice itching, burning, or a strong odor, it might be a sign of an infection or irritation.

  • Changes in Secretions: Any significant changes in the appearance or smell of the secretions should be evaluated by a healthcare provider.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and personalized advice.

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8 mo ago

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People Also Ask


What is smegma and is it harmful?

Smegma is a natural substance composed of oils, skin cells, and moisture that can accumulate around the clitoral area and vulva. It is not harmful but can cause odor if not cleaned regularly.


Are vaginal secretions normal and what should they look like?

Yes, vaginal secretions are normal and help keep the area clean and healthy. They can vary in consistency and are typically clear or white. If they have a strong odor or change significantly, it may be worth consulting a healthcare provider.


How should I properly clean the vaginal area to maintain hygiene?

To maintain hygiene, gently clean the vaginal area with water daily. Avoid using scented products or harsh soaps, as these can cause irritation. Focus on cleaning around the folds without scrubbing too hard.


When should I consult a healthcare provider about vaginal secretions?

You should consult a healthcare provider if you notice unusual symptoms such as itching, burning, or a strong odor, or if there are significant changes in the appearance or smell of the secretions.


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