[19F] Experiencing painful vulvar sores post unprotected intercourse

Patient Description

A 19-year-old female presented with painful sores on her vulva, resembling canker sores, that have been present for a week. The pain is described as constant and severe, exacerbated by walking due to friction. The patient reported unprotected sexual activity and a recent onset of feverish symptoms. No other symptoms such as itching, burning, vaginal discharge, or swollen lymph nodes were reported. The patient has no known drug allergies, is not on any medications, and has no chronic medical conditions. Two of the sores appear to be healing, while one has pus. The patient's sexual partner does not exhibit similar symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Genital Herpes: This is a sexually transmitted infection that can cause small, painful sores on the genital area. The sores can be preceded by flu-like symptoms. Genital herpes is caused by the herpes simplex virus (HSV), and there is no cure, but antiviral medication can help manage outbreaks and reduce the risk of transmission to partners.

    • Diagnosis typically involves a physical examination and a swab test of the sores. Blood tests can also be used to confirm the diagnosis.
  • Genital Warts: These are small, flesh-colored or gray swellings in your genital area. They are one of the most common types of sexually transmitted infections and are caused by the human papillomavirus (HPV). Genital warts can appear weeks or even months after sexual contact with an infected person.

    • Diagnosis is usually made by visual inspection. A biopsy may be required if the warts are hard to diagnose or if the person has a weakened immune system.
  • Syphilis: This is a sexually transmitted infection that can cause sores on your genitals. The sores are usually firm, round, and painless. If not treated, syphilis can lead to serious health problems.

    • Diagnosis is usually made by a blood test.

Please note that these are just possibilities and not a definitive diagnosis. It's important to see a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Avoid sexual activity until you have seen a healthcare provider. This can help prevent the spread of potential sexually transmitted infections.
  2. Keep the area clean and dry. Avoid scratching or picking at the sores as this can lead to further infection.
  3. Over-the-counter pain relievers may help with discomfort.

What you should look out for

Please seek immediate medical attention if:

  • The sores increase in size or number
  • You develop a high fever or severe pain
  • You have difficulty urinating due to the sores

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What are the common symptoms of genital herpes?

Common symptoms of genital herpes include painful sores or blisters on the genital area, flu-like symptoms such as fever and body aches, and sometimes itching or burning sensations. The sores can be preceded by tingling or discomfort in the affected area.


How is genital herpes diagnosed?

Genital herpes is typically diagnosed through a physical examination and a swab test of the sores. Blood tests can also be used to detect antibodies to the herpes simplex virus, confirming the diagnosis.


Can genital herpes be cured?

There is no cure for genital herpes, but antiviral medications can help manage outbreaks, reduce symptoms, and lower the risk of transmission to sexual partners.


What precautions should be taken if I suspect I have a sexually transmitted infection?

If you suspect you have a sexually transmitted infection, avoid sexual activity until you have been evaluated by a healthcare provider. This helps prevent spreading the infection. Additionally, keep the affected area clean and dry, and consider using over-the-counter pain relievers to manage discomfort.


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