[20F] Experiencing vulvar itching and strong foul odor

Patient Description

A 20-year-old female reports a one-week history of vulvar itching and a strong, foul vaginal odor. The itching is described as random and intensifies upon scratching. She denies any previous similar episodes, fever, chills, or exposure to others with similar symptoms. The patient also reports concurrent abdominal pain and a change in vaginal discharge, but no fever or vomiting. No prior medical history was provided during the encounter.

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Arora's Assessment

What might be happening

Based on your symptoms of itching, a strong and foul vaginal odor, and a change in vaginal discharge, you may be experiencing:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It occurs when there is an imbalance of "good" and "bad" bacteria in the vagina. The main symptom is a fishy-smelling vaginal discharge, which may be white, gray, or green. Itching or burning may occur during urination, and there may be a strong vaginal odor.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Yeast Infection (Candidiasis): This is a common fungal infection that can cause itching, irritation, and a change in the color, amount, or smell of vaginal discharge. However, yeast infections usually do not cause a strong, foul odor.

    • Treatment typically involves antifungal medication, which can be over-the-counter or prescribed by a healthcare provider.
  • Sexually Transmitted Infection (STI): Certain STIs, like Trichomoniasis, can cause a foul-smelling vaginal discharge, itching, and discomfort.

    • Treatment typically involves antibiotics or antiparasitic medication prescribed by a healthcare provider.

What you can do

While waiting for your appointment with your healthcare provider, here are some general tips to help alleviate your symptoms:

  1. Avoid scratching the area as it can lead to further irritation or even an infection.
  2. Wear cotton underwear and loose-fitting clothing to keep the area dry and prevent irritation.
  3. Avoid douching or using scented feminine hygiene products as these can disrupt the normal balance of bacteria in your vagina and make your symptoms worse.

What you should look out for

If you notice any of the following symptoms, seek medical attention immediately:

  • Severe abdominal or pelvic pain
  • Fever or chills
  • Increased frequency or urgency of urination
  • Pain during sexual intercourse

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 Bacterial Vaginosis (BV)?

Common symptoms of Bacterial Vaginosis include a fishy-smelling vaginal discharge, which may be white, gray, or green, and sometimes itching or burning during urination.


How can I differentiate between a yeast infection and Bacterial Vaginosis?

A yeast infection typically causes thick, white discharge resembling cottage cheese and intense itching, but usually does not have a strong, foul odor. Bacterial Vaginosis, on the other hand, often presents with a thin, grayish discharge and a fishy odor.


What are the potential causes of a strong, foul vaginal odor?

A strong, foul vaginal odor can be caused by Bacterial Vaginosis, certain sexually transmitted infections like Trichomoniasis, or poor hygiene. It is important to consult a healthcare provider for an accurate diagnosis.


What home remedies can help alleviate vulvar itching?

To alleviate vulvar itching, avoid scratching, wear cotton underwear, keep the area dry, and avoid using scented products or douching. These measures can help prevent further irritation.


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