[18F] With yellow-green vaginal discharge and bumps

Patient Description

An 18-year-old female has been experiencing significant yellow-green vaginal discharge for the past 2 days. The discharge is thick and associated with itching, odor, and pain. Additionally, the patient has noticed red bumps in the vaginal area, which have also been present for 2 days. She reports pain or burning during urination and pelvic or lower abdominal pain. The patient has had one new sexual partner in the past few weeks and did not use protection. She has not been tested for sexually transmitted infections (STIs) recently and has no prior history of STIs. No fever has been reported. The patient does not have any pre-existing conditions or chronic illnesses and is not currently taking any medications. Cold water helps to relieve the bumps.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Bacterial Vaginosis (BV): This is a common vaginal infection caused by an imbalance of bacteria in the vagina. Symptoms often include a yellow-green discharge with a strong odor, itching, and irritation.

    • Treatment: BV is typically treated with antibiotics prescribed by a healthcare provider.
  • Trichomoniasis: This is a sexually transmitted infection (STI) caused by a parasite. It can cause a yellow-green, frothy discharge with a strong odor, itching, and discomfort during urination.

    • Treatment: Trichomoniasis is treated with a specific antibiotic called metronidazole or tinidazole.
  • Gonorrhea or Chlamydia: These are common STIs that can cause abnormal discharge, pain during urination, and pelvic pain. They can also cause bumps or sores in the genital area.

    • Treatment: Both infections are treated with antibiotics.
  • Genital Herpes: This is an STI caused by the herpes simplex virus. It can cause painful bumps or sores in the genital area, along with itching and discomfort.

    • Treatment: While there is no cure for herpes, antiviral medications can help manage outbreaks and reduce symptoms.

What you can do

  1. See a Healthcare Provider: It is important to consult a healthcare provider for a formal diagnosis and appropriate treatment. They may perform tests to determine the exact cause of your symptoms.
  2. Avoid Sexual Activity: Until you have been evaluated and treated, it is best to avoid sexual activity to prevent spreading any potential infection.
  3. Maintain Good Hygiene: Keep the genital area clean and dry. Avoid using harsh soaps or douches, as they can irritate the area further.
  4. 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 you develop severe abdominal or pelvic pain.
  • Fever: If you develop a fever (temperature over 100.4°F) or chills.
  • Worsening Symptoms: If your symptoms worsen or do not improve with initial treatment.
  • New Symptoms: If you notice new symptoms such as sores, ulcers, or significant changes in discharge.

Remember, while I can provide information and suggestions, it is crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.

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6 mo ago

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People Also Ask


What are the common symptoms of bacterial vaginosis (BV)?

Common symptoms of bacterial vaginosis include a yellow-green discharge with a strong fishy odor, vaginal itching, and irritation. Some women may also experience burning during urination.


How is trichomoniasis diagnosed and treated?

Trichomoniasis is diagnosed through a physical examination and laboratory tests, such as a swab of the vaginal discharge. It is treated with antibiotics, typically metronidazole or tinidazole, which are effective in clearing the infection.


What are the signs of gonorrhea or chlamydia in women?

Signs of gonorrhea or chlamydia in women can include abnormal vaginal discharge, pain during urination, pelvic or lower abdominal pain, and sometimes bumps or sores in the genital area. However, some women may not experience any symptoms.


How can genital herpes be managed if there is no cure?

Genital herpes can be managed with antiviral medications, which help reduce the frequency and severity of outbreaks. These medications can also help decrease the risk of transmission to sexual partners. It's important to maintain good hygiene and avoid sexual contact during outbreaks.


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