[21F] With sudden onset of vaginal itching and irritation

Patient Description

A 21-year-old female presents with sudden onset of vaginal itching, burning discomfort, irritation, and swelling for the past two days. The symptoms are rated as moderate in severity and seem to be alleviated by water. The patient reports no accompanying odor, and the symptoms tend to come and go. Recently, there has been a change in personal care products and laundry detergent, which may have triggered the symptoms. The patient is sexually active and did not use protection during recent intercourse. There is no history of sexually transmitted infections, and the last menstrual period was on October 24th, with no changes in the menstrual cycle reported. The patient has not taken any antibiotics or other medications recently that might affect vaginal health. No other skin changes or rashes have been noted in other areas of the body.

Arora's Assessment

What might be happening

Based on the symptoms you've described—itching, burning discomfort, irritation, and swelling in the vaginal area, along with a cold, moist feeling—there are a few possible explanations:

Contact Dermatitis: This is a skin reaction that can occur when the skin comes into contact with an irritant or allergen. Since you've recently changed personal care products and laundry detergent, this could be a likely cause. Symptoms typically include itching, redness, and swelling.
- Treatment usually involves identifying and avoiding the irritant. Over-the-counter hydrocortisone cream can help reduce inflammation and itching.
Yeast Infection (Candidiasis): This is a common fungal infection that can cause itching, burning, and swelling. It often occurs when the natural balance of bacteria and yeast in the vagina is disrupted.
- Treatment typically involves antifungal medications, which can be prescribed by a healthcare provider or purchased over-the-counter.
Bacterial Vaginosis: This condition is caused by an imbalance of bacteria in the vagina and can lead to symptoms like itching and irritation, although it often includes a distinct odor, which you mentioned is not present.
- Treatment usually involves antibiotics prescribed by a healthcare provider.
Sexually Transmitted Infections (STIs): Some STIs can cause similar symptoms, especially if you've had unprotected sex recently. It's important to get tested to rule this out.
- Treatment depends on the specific infection and typically involves antibiotics or antiviral medications.

What you can do

Avoid Irritants: Stop using the new personal care products and laundry detergent to see if your symptoms improve. Switch back to products you have used without issue in the past.
Maintain Good Hygiene: Keep the area clean and dry. Avoid using scented products or douches, as these can further irritate the area.
Over-the-Counter Relief: Consider using an over-the-counter antifungal cream or hydrocortisone cream to help alleviate symptoms.
Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and note any potential triggers. This information can be helpful for your healthcare provider.

What you should look out for

Seek Medical Attention: If your symptoms persist, worsen, or if you develop new symptoms such as a fever, unusual discharge, or pain, it's important to see a healthcare provider for a proper diagnosis and treatment.
STI Testing: Given your recent unprotected sexual activity, consider getting tested for STIs to rule out any infections.

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago

Top picked over-the-counter products for Eczema: American Academy of Dermatology Guidelines