[18F] With persistent vulvar itching and sore

Patient Description

An 18-year-old female presents with persistent vulvar itching that has been on and off for about a month, with no relief from any interventions. The patient also reports a sore on the vulva that appeared before the itching began and has been present since October. The sore sometimes causes a tingling or burning sensation when touched. The patient has been sexually active, but her partner has not exhibited any symptoms. She has been tested for chlamydia and gonorrhea, with a negative result for chlamydia, although she was treated for it. No testing for herpes or other sexually transmitted infections has been conducted. The patient has a history of eczema since childhood but reports no allergies or current medications. No swollen lymph nodes in the groin or flu-like symptoms such as fever or body aches have been noted.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Genital Herpes: This is a common sexually transmitted infection that can cause sores and itching in the genital area. The tingling or burning sensation you mentioned can also be associated with herpes. Testing for herpes can confirm this diagnosis.

    • Treatment typically involves antiviral medications to manage outbreaks and reduce symptoms.

  • Contact Dermatitis: This could be an allergic reaction or irritation from products like soaps, detergents, or fabrics. Itching and sores can occur if the skin is irritated.

    • Treatment involves avoiding irritants and using topical creams to soothe the skin.

  • Eczema: Since you have a history of eczema, it's possible that this is a flare-up in a sensitive area.

    • Treatment includes moisturizing and using prescribed topical steroids to reduce inflammation.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor for a proper diagnosis and treatment plan. They may recommend tests for herpes or other conditions.

  2. Avoid Irritants: Use gentle, fragrance-free products for personal hygiene and laundry to minimize irritation.

  3. Keep the Area Clean and Dry: Gently clean the area with mild soap and water, and pat dry.

  4. Use MDandMe: Track your symptoms, any changes, and potential triggers. This information can be helpful for your healthcare provider.

What you should look out for

  • Increased Pain or Discomfort: If the sore becomes more painful or you notice new symptoms, seek medical attention.

  • Spread of Symptoms: If you notice sores or itching spreading to other areas, consult a doctor.

  • Fever or Flu-like Symptoms: These could indicate an infection that needs medical evaluation.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.

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14 d ago

People Also Ask

What are the common symptoms of genital herpes?

Common symptoms of genital herpes include sores or blisters in the genital area, itching, tingling, or burning sensations, and sometimes flu-like symptoms such as fever or swollen lymph nodes.

How can contact dermatitis be distinguished from other skin conditions?

Contact dermatitis can often be distinguished by its sudden onset after exposure to an irritant or allergen, and it typically presents as red, itchy, and inflamed skin. A healthcare provider can help differentiate it from other conditions like eczema or infections.

What are effective treatments for eczema in sensitive areas?

Effective treatments for eczema in sensitive areas include using gentle moisturizers, avoiding irritants, and applying prescribed topical steroids to reduce inflammation. It's important to follow a healthcare provider's recommendations for managing eczema.

Why is it important to test for sexually transmitted infections even if a partner shows no symptoms?

Testing for sexually transmitted infections is important even if a partner shows no symptoms because many STIs can be asymptomatic. Early detection and treatment can prevent complications and reduce the risk of transmission.

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