[18F] With vaginal discharge and dysuria

Patient Description

An 18-year-old female presents with a white, milky vaginal discharge with a noticeable smell for the past two days. The discharge is significant enough to leak through underwear and drip down the leg. She reports a burning sensation during urination and redness in the genital area, but denies any itching, fever, or pelvic pain. Approximately two weeks ago, she had a new sexual partner and did not use protection. She has not experienced this type of discharge before and has not been tested for sexually transmitted infections (STIs), but is open to testing. The patient has no chronic medical conditions and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Yeast Infection (Candidiasis): This is a common cause of white, thick discharge and redness. It can also cause burning during urination. Yeast infections are usually treated with antifungal medications, which can be over-the-counter or prescribed by a doctor.

  • Bacterial Vaginosis (BV): This condition can cause a fishy-smelling discharge and irritation. It is treated with antibiotics prescribed by a healthcare provider.

  • Sexually Transmitted Infections (STIs): Infections like chlamydia or gonorrhea can cause discharge and burning. Testing is important to identify and treat these conditions with antibiotics.

What you can do

  • See a Healthcare Provider: It's important to get a proper diagnosis and treatment. They may recommend tests to determine the exact cause of your symptoms.

  • Maintain Good Hygiene: Keep the area clean and dry. Avoid using scented products that can irritate the area.

  • Avoid Sexual Activity: Until you see a healthcare provider, it might be best to avoid sexual activity to prevent potential spread of infection.

  • Use MDandMe: Track your symptoms and any changes. This can help your healthcare provider with diagnosis and treatment.

What you should look out for

  • Worsening Symptoms: If you notice increased pain, fever, or a change in discharge color, seek medical attention promptly.

  • New Symptoms: If you develop pelvic pain or other unusual symptoms, contact a healthcare provider.

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

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2 mo ago

People Also Ask

What could cause a white, milky vaginal discharge with a noticeable smell?

White, milky discharge with a smell could be due to a yeast infection, bacterial vaginosis, or a sexually transmitted infection. It's important to get tested to determine the exact cause.

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

Yeast infections typically cause thick, white discharge and itching, while bacterial vaginosis often results in a thin, grayish discharge with a fishy odor. A healthcare provider can help diagnose the condition accurately.

What are the risks of not using protection with a new sexual partner?

Not using protection with a new partner increases the risk of sexually transmitted infections (STIs) such as chlamydia or gonorrhea. It's important to get tested and use protection to reduce these risks.

When should I see a healthcare provider for vaginal discharge?

You should see a healthcare provider if you experience unusual discharge, burning during urination, or redness. Prompt medical attention is important if symptoms worsen or if you develop new symptoms like pelvic pain or fever.

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