[19F] With frequent urination and vaginal itching

Patient Description

A 19-year-old female reports experiencing frequent urination and itching inside the vagina for the past 5 days. She needs to urinate about 6-10 times a day, sometimes with a larger volume of urine, but does not feel any pain or burning sensation during urination. The frequent urination started suddenly. She has noticed some changes in her fluid intake or diet recently. The vaginal itching feels similar to a previous episode of trichomoniasis (an STD), but she has not found anything that helps relieve it. She also mentioned a small odor of pee but no unusual vaginal discharge or other odor. There is no fever, lower abdominal pain, or back pain. The urine is yellow, and there is no pain or discomfort during sexual activity. She was tested for STIs three months ago 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:

  • Urinary Tract Infection (UTI): UTIs are common and can cause frequent urination, urgency, and sometimes a slight odor. However, they often come with pain or burning during urination, which you do not have.

    • Treatment: UTIs are typically treated with antibiotics prescribed by a doctor. A urine test can confirm the diagnosis.
  • Vaginal Yeast Infection: This can cause itching inside the vagina and sometimes changes in discharge, although you haven't mentioned any unusual discharge.

    • Treatment: Over-the-counter antifungal creams or suppositories can help, but it's best to confirm with a doctor.
  • Diabetes: Increased urination can be a symptom of diabetes, especially if the volume of urine is large. Itching can also be a symptom due to high blood sugar levels.

    • Treatment: Diabetes is managed with lifestyle changes, medications, and monitoring blood sugar levels. A blood test can confirm the diagnosis.
  • Sexually Transmitted Infections (STIs): Given your history of trichomoniasis and recent sexual activity, it's possible that an STI could be causing your symptoms.

    • Treatment: STIs are treated with specific medications, and it's important to get tested to identify the exact cause.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help flush out any potential infections.
  2. Avoid Irritants: Avoid using scented soaps, douches, or other products that could irritate your vaginal area.
  3. Practice Good Hygiene: Wipe from front to back after using the toilet to prevent the spread of bacteria.
  4. Over-the-Counter Remedies: Consider using over-the-counter antifungal creams if you suspect a yeast infection.
  5. Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This can help you and your healthcare provider understand your condition better.
  6. Dietary Changes: If you suspect your diet might be contributing to your symptoms, try to identify and eliminate potential irritants.

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 back pain.
  • Fever: If you develop a fever (temperature over 100.4°F) or chills.
  • Blood in Urine: If you notice blood in your urine.
  • Worsening Symptoms: If your symptoms worsen or do not improve with over-the-counter treatments.

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

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3 mo ago


People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain. However, not all symptoms need to be present.


How can I tell if I have a vaginal yeast infection?

A vaginal yeast infection often causes itching and irritation in the vagina and vulva, a burning sensation, especially during intercourse or while urinating, redness and swelling of the vulva, and a thick, white, odor-free vaginal discharge with a cottage cheese appearance.


Could frequent urination be a sign of diabetes?

Yes, frequent urination can be a sign of diabetes, especially if accompanied by other symptoms such as increased thirst, unexplained weight loss, fatigue, and blurred vision. A blood test can help confirm a diabetes diagnosis.


What should I do if I suspect I have an STI?

If you suspect you have an STI, it's important to get tested as soon as possible. Avoid sexual activity until you have been evaluated by a healthcare provider. Early diagnosis and treatment can prevent complications and reduce the risk of transmission to others.


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