[20F] With severe vaginal irritation and abnormal discharge post-coital

Patient Description

A 20-year-old female presents with severe vaginal irritation and swelling, along with a runny/watery and light brown discharge with a fishy odor, which began 6 days after unprotected sexual intercourse. The patient rates the irritation as 10 out of 10 in severity, with symptoms including redness and a raw sensation. The patient has found some relief when sitting in a hot bath. There was also a report of light spotting that started after the sexual encounter and has persisted for approximately 2 weeks. The patient has a history of abnormal vaginal discharge. No severe lower abdominal pain, fever, dizziness, fainting, rapid heart rate, or pelvic discomfort has been reported. The patient has experienced vaginal bleeding post-coital before.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It occurs when the balance of bacteria in the vagina is disrupted. Symptoms can include a fishy-smelling discharge, vaginal itching, and burning during urination.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Sexually Transmitted Infections (STIs): Certain STIs, such as gonorrhea or chlamydia, can cause symptoms similar to what you're experiencing. These infections can be transmitted through sexual contact.

    • Treatment for STIs usually involves antibiotics. Both you and your partner would need to be treated to prevent re-infection.
  • Vaginal Yeast Infection: This is a fungal infection that causes irritation, discharge, and intense itchiness of the vagina and the vulva.

    • Treatment typically involves antifungal medication, which can be either prescription or over-the-counter.

Please note that these are just possibilities and not a definitive diagnosis. You should seek care from a healthcare professional for a formal diagnosis and treatment.

What you can do

  1. Schedule an appointment with a healthcare provider as soon as possible. They can perform tests to determine the cause of your symptoms and prescribe appropriate treatment.

  2. Avoid sexual intercourse until you've been evaluated by a healthcare provider, as some conditions can be transmitted to your partner.

  3. Over-the-counter treatments for yeast infections are available, but it's important to get a definitive diagnosis before starting any treatment.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve after treatment
  • You develop severe lower abdominal pain
  • You have a fever
  • You experience dizziness or fainting

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, diagnosis, and treatment.

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1 yr ago

Top picked over-the-counter products for Yeast Infection: Over-the-Counter Treatment

People Also Ask


What are the common symptoms of Bacterial Vaginosis (BV)?

Common symptoms of Bacterial Vaginosis (BV) include a fishy-smelling vaginal discharge, vaginal itching, and burning during urination. Some women may also experience vaginal irritation and swelling.


How can sexually transmitted infections (STIs) be prevented?

STIs can be prevented by using condoms during sexual intercourse, limiting the number of sexual partners, and getting regularly tested for STIs. It's also important to ensure that both you and your partner are treated if an STI is diagnosed.


What are the typical treatments for a vaginal yeast infection?

Typical treatments for a vaginal yeast infection include antifungal medications, which can be either prescription or over-the-counter. These medications can come in the form of creams, ointments, tablets, or suppositories.


When should I seek immediate medical attention for vaginal symptoms?

You should seek immediate medical attention if your symptoms worsen or do not improve after treatment, if you develop severe lower abdominal pain, have a fever, or experience dizziness or fainting.


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