[21F] With chronic vaginal itching and discharge

Patient Description

A 21-year-old female reports experiencing vaginal itching and thick white discharge for over three months. The symptoms occur randomly throughout the day and are sometimes alleviated by hot water. The patient denies any additional symptoms such as pain or odor. She recently completed a course of antibiotics on November 3rd. There is no prior diagnosis of yeast infection, and she has not noticed any changes in her diet or personal care products. Her menstrual cycle is regular with no recent changes. No known allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, a possible diagnosis is:

  • Yeast Infection (Candidiasis): This is a common fungal infection that can cause symptoms such as vaginal itching, burning, and a thick, white discharge. Yeast infections can occur when the natural balance of bacteria and yeast in the vagina is disrupted, often due to factors like antibiotic use, hormonal changes, or a weakened immune system.
    • Treatment: Over-the-counter antifungal creams or suppositories are commonly used to treat yeast infections. In some cases, a doctor may prescribe oral antifungal medication.

What you can do

  1. Consult a Healthcare Provider: It's important to see a healthcare provider for a formal diagnosis and appropriate treatment. They can confirm whether you have a yeast infection or another condition.
  2. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented products or douches that can disrupt the natural balance of bacteria and yeast.
  3. Wear Breathable Clothing: Opt for cotton underwear and loose-fitting clothes to help keep the area dry and reduce irritation.
  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Symptoms persist or worsen despite treatment
  • You develop new symptoms, such as fever or pelvic pain
  • You have frequent yeast infections (more than four a year)

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

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1 mo ago

People Also Ask


What are common symptoms of a yeast infection?

Common symptoms of a yeast infection include vaginal itching, burning, and a thick, white discharge that resembles cottage cheese. There may also be redness and swelling of the vulva.


Can antibiotics cause a yeast infection?

Yes, antibiotics can disrupt the natural balance of bacteria and yeast in the vagina, leading to an overgrowth of yeast and resulting in a yeast infection.


How can I treat a yeast infection at home?

Yeast infections can often be treated at home with over-the-counter antifungal creams or suppositories. It's also helpful to maintain good hygiene, wear breathable clothing, and avoid scented products.


When should I see a doctor for a yeast infection?

You should see a doctor if your symptoms persist or worsen despite treatment, if you develop new symptoms like fever or pelvic pain, or if you experience frequent yeast infections (more than four a year).


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