[18F] With vulvovaginal itching, redness, and white sticky discharge

Patient Description

An 18-year-old female has been experiencing itching in the vulva and vagina for a couple of days. The itching feels like a tingling sensation and has come on gradually. The patient also reports redness in the same area and a white, sticky vaginal discharge that started a couple of days ago. She recently completed a week-long course of antibiotics for pus in her throat, which she stopped taking a couple of weeks ago. There is no pain or discomfort during urination or sexual intercourse. Her menstrual periods are regular, with the last period occurring last month. There have been no recent changes in her diet or lifestyle, and she does not have any pre-existing conditions or chronic illnesses. She is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the most likely diagnosis is:

  • Yeast Infection (Candidiasis): This is a common fungal infection caused by an overgrowth of yeast (Candida) in the vagina. Symptoms typically include itching, redness, and a white, sticky discharge. Antibiotic use can disrupt the natural balance of bacteria and yeast in the vagina, making yeast infections more likely.
    • Treatment: Over-the-counter antifungal creams or suppositories (like miconazole or clotrimazole) are commonly used to treat yeast infections. In some cases, a doctor may prescribe an oral antifungal medication like fluconazole.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

  1. Over-the-Counter Treatments: Consider using an over-the-counter antifungal cream or suppository. These are available at most pharmacies and can help relieve symptoms.
  2. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented soaps, douches, or feminine hygiene sprays, as these can irritate the area.
  3. Wear Breathable Clothing: Opt for loose-fitting, cotton underwear and avoid tight clothing that can trap moisture.
  4. Avoid Irritants: Steer clear of hot tubs, bubble baths, and other potential irritants that can exacerbate symptoms.
  5. Stay Hydrated and Eat a Balanced Diet: Drinking plenty of water and maintaining a balanced diet can help support your overall health.
  6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

While yeast infections are generally not serious, there are some signs that you should seek medical attention more urgently:

  • Persistent Symptoms: If your symptoms do not improve after a few days of treatment with over-the-counter medications.
  • Severe Discomfort: If the itching, redness, or discharge becomes severe or unbearable.
  • Recurrent Infections: If you experience frequent yeast infections, as this may indicate an underlying issue that needs to be addressed.
  • New Symptoms: If you develop new symptoms such as fever, chills, or abdominal pain, which could indicate a more serious infection.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to ask!

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4 mo ago


People Also Ask


What causes a yeast infection after taking antibiotics?

Antibiotics can disrupt the natural balance of bacteria and yeast in the vagina, reducing the number of beneficial bacteria that keep yeast growth in check, leading to an overgrowth of yeast and resulting in a yeast infection.


What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include itching and irritation in the vagina and vulva, redness and swelling of the vulva, a thick, white, odorless vaginal discharge that resembles cottage cheese, and a burning sensation, especially during intercourse or while urinating.


How can I treat a yeast infection at home?

You can treat a yeast infection at home using over-the-counter antifungal creams or suppositories, such as miconazole or clotrimazole. Maintaining good hygiene, wearing breathable clothing, and avoiding irritants can also help alleviate symptoms.


When should I see a doctor for a yeast infection?

You should see a doctor if your symptoms do not improve after a few days of treatment, if you experience severe discomfort, if you have recurrent infections, or if you develop new symptoms such as fever, chills, or abdominal pain.


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