[18F] With vaginal discharge and burning sensation post-unprotected sex

Patient Description

An 18-year-old female has been experiencing a white, thick vaginal discharge for the past 2-3 days, which started after having unprotected sex with a new partner. The discharge is not associated with any odor, and the patient frequently washes the area. Along with the discharge, she is experiencing a burning sensation and some pain, particularly during sexual intercourse. She has also noticed some redness and swelling in the vaginal area. However, there is no pain or discomfort during urination, unusual bleeding or spotting, or itching. She has not been tested for sexually transmitted infections (STIs) recently. The patient is currently taking Levetiracetam 750mg twice daily, Phenytoin 100mg three times daily, and Ethinyl estradiol once daily, with no known allergies to medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, a possible diagnosis is:

  • Yeast Infection (Candidiasis): This is a common fungal infection that can cause thick, white discharge, burning, redness, and swelling in the vaginal area. It often occurs after sexual activity, especially if there has been a change in the vaginal environment.

    • Treatment: Over-the-counter antifungal creams or suppositories are commonly used. Prescription medications may be necessary if the infection is severe or recurrent.
  • Bacterial Vaginosis (BV): This condition is caused by an imbalance of the natural bacteria in the vagina. It can cause discharge and discomfort, although the discharge is usually thin and grayish-white with a fishy odor, which you did not report.

    • Treatment: Antibiotics prescribed by a healthcare provider.
  • Sexually Transmitted Infections (STIs): Infections such as chlamydia, gonorrhea, or trichomoniasis can cause vaginal discharge and discomfort. Given the unprotected sexual activity with a new partner, this is a possibility.

    • Treatment: Antibiotics or other medications prescribed by a healthcare provider.

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 a pelvic exam and take a sample of the discharge for testing.
  2. Over-the-Counter Treatments: If you suspect a yeast infection, you can try an over-the-counter antifungal cream or suppository. However, it's best to confirm the diagnosis with a healthcare provider first.
  3. Maintain Good Hygiene: Continue to keep the vaginal area clean and dry. Avoid using scented soaps or douches, as these can disrupt the natural balance of bacteria in the vagina.
  4. Avoid Sexual Activity: Until you have seen a healthcare provider and received treatment, it may be best to avoid sexual activity to prevent further irritation and transmission of any potential infections.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your 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: If you develop a fever (temperature over 100.4°F).
  • Unusual Bleeding: If you notice any unusual bleeding or spotting.
  • Worsening Symptoms: If your symptoms worsen or do not improve with over-the-counter treatments.

Remember, while I can provide information and suggestions, I am not a doctor. It's important to consult with a healthcare professional to receive a formal diagnosis and appropriate 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 thick, white vaginal discharge, itching, burning, redness, and swelling in the vaginal area. Pain during intercourse and discomfort are also possible.


How can I differentiate between a yeast infection and bacterial vaginosis?

Yeast infections typically cause thick, white discharge without odor, while bacterial vaginosis often results in a thin, grayish-white discharge with a fishy odor. BV may also cause itching and irritation.


What are the risks of having unprotected sex with a new partner?

Unprotected sex with a new partner increases the risk of sexually transmitted infections (STIs) such as chlamydia, gonorrhea, and trichomoniasis. It can also lead to changes in the vaginal environment, potentially causing infections like yeast infections or bacterial vaginosis.


Can my current medications affect my vaginal health?

Certain medications, like antibiotics, can disrupt the natural balance of bacteria in the vagina, potentially leading to infections. However, the medications you are currently taking (Levetiracetam, Phenytoin, and Ethinyl estradiol) are not typically associated with causing vaginal infections, but it's always best to discuss any concerns with your healthcare provider.

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