[19F] With recurrent vaginal discharge and dysuria

Patient Description

A 19-year-old female reports experiencing light yellow, thin vaginal discharge with a foul odor that started today. She experiences this type of discharge approximately twice a month, but it usually resolves on its own. The patient also reports a burning sensation during urination. When wiping, she notices a brown, dirt-like substance. She has not had any new sexual partners and does not use protection. There have been no changes in her menstrual cycle, and she has not used any new antibiotics or hygiene products recently. The patient denies any itching, fever, or abdominal pain. She has no pre-existing conditions or chronic illnesses and is not currently taking any medications.

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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 thin, yellowish discharge with a foul odor, and it can sometimes cause discomfort or a burning sensation during urination.

    • Treatment: BV is typically treated with antibiotics prescribed by a healthcare provider.
  • Urinary Tract Infection (UTI): UTIs can cause a burning sensation when urinating and may sometimes be associated with changes in vaginal discharge.

    • Treatment: UTIs are usually treated with antibiotics. Drinking plenty of water can help flush out the bacteria.
  • Sexually Transmitted Infections (STIs): Some STIs, such as trichomoniasis, can cause symptoms similar to what you're describing, including a foul-smelling discharge and discomfort during urination.

    • Treatment: STIs require specific treatments, often involving antibiotics or antiviral medications, depending on the infection.
  • Yeast Infection: Although less likely given the description of your discharge, yeast infections can cause discomfort and changes in discharge.

    • Treatment: Over-the-counter antifungal treatments are available, but a healthcare provider can offer more specific guidance.

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. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented products that can disrupt the natural balance of bacteria.
  3. Stay Hydrated: Drink plenty of water to help flush out any potential infections.
  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in identifying patterns and triggers.
  5. Avoid Douching: Douching can disrupt the natural balance of bacteria in the vagina and may worsen your symptoms.

What you should look out for

  • Worsening Symptoms: If your symptoms worsen or do not improve with treatment, seek medical attention.
  • Fever or Severe Pain: If you develop a fever or severe abdominal pain, see a doctor immediately as these could be signs of a more serious infection.
  • Blood in Urine: If you notice blood in your urine, seek medical attention promptly.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and treatment plan.

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5 mo ago

People Also Ask


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

Common symptoms of bacterial vaginosis include a thin, gray or yellowish discharge with a fishy odor, especially after intercourse, and sometimes a burning sensation during urination.


How can I differentiate between a UTI and a yeast infection?

A UTI typically causes a burning sensation during urination, frequent urge to urinate, and cloudy or strong-smelling urine. A yeast infection usually causes thick, white discharge resembling cottage cheese, itching, and irritation in the vaginal area.


What are the risks of not treating a sexually transmitted infection (STI)?

Not treating an STI can lead to serious health complications, including pelvic inflammatory disease, infertility, and increased risk of acquiring other STIs, including HIV. It can also cause long-term health issues if left untreated.


Can lifestyle changes help prevent recurrent vaginal infections?

Yes, lifestyle changes such as maintaining good hygiene, wearing breathable cotton underwear, avoiding douching, and practicing safe sex can help prevent recurrent vaginal infections. Staying hydrated and managing stress can also support overall vaginal health.


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