[19F] Experiencing vaginal itching and abnormal discharge

Patient Description

A 19-year-old female is reporting intense vaginal itching for 2 weeks, accompanied by discomfort and abnormal discharge that has darkened in color as of today. The patient also notes fatigue. She has recently come off the Depo-Provera shot and has not had a menstrual period since. No other symptoms were reported. The itching is described as intense at times and there are no known relief measures that have been effective.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms could be:

  • Vaginal Yeast Infection: This is a common condition caused by an overgrowth of yeast (a type of fungus) in the vagina. Symptoms can include itching, redness, and a thick, white discharge.

    • Treatment typically involves antifungal medications that can be applied to the area or taken by mouth.
  • Bacterial Vaginosis: This is a condition caused by an imbalance in the normal bacteria found in your vagina. Symptoms can include itching, a thin white or gray discharge, and a fishy odor.

    • Treatment typically involves antibiotics that can be applied to the area or taken by mouth.
  • Sexually Transmitted Infections (STIs): Certain STIs, like trichomoniasis or gonorrhea, can cause itching and discharge.

    • Treatment typically involves antibiotics.

What you can do

You should seek care from a healthcare professional to receive a formal diagnosis and appropriate treatment. In the meantime, here are some things you can do to help alleviate your symptoms:

  1. Avoid scratching the area, as this can cause further irritation and potentially lead to an infection.
  2. Wear cotton underwear and loose-fitting clothing to keep the area dry and prevent irritation.
  3. Avoid using scented soaps, lotions, or bubble baths, as these can irritate the area.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve after treatment
  • You develop a fever or abdominal pain
  • You have painful urination or intercourse
  • You have new or different symptoms

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.

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10 mo ago

People Also Ask


What are the common symptoms of a vaginal yeast infection?

Common symptoms of a vaginal yeast infection include intense itching, redness, swelling of the vaginal area, and a thick, white, cottage cheese-like discharge.


How can coming off Depo-Provera affect menstrual cycles?

Coming off Depo-Provera can lead to irregular menstrual cycles or a temporary absence of periods as the body readjusts to its natural hormonal cycle. It may take some time for regular periods to resume.


What are the differences between a yeast infection and bacterial vaginosis?

A yeast infection typically causes thick, white discharge and intense itching, while bacterial vaginosis often results in a thin, gray or white discharge with a fishy odor. Both conditions can cause discomfort, but they are caused by different imbalances and require different treatments.


When should someone seek medical attention for vaginal itching and discharge?

Medical attention should be sought if symptoms worsen, do not improve after treatment, or if there are additional symptoms such as fever, abdominal pain, painful urination, or painful intercourse.


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