[21F] With vaginal discharge, redness, and soreness

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Yeast Infection (Candidiasis): This is a common fungal infection that can cause thick, white, clumpy discharge that resembles cottage cheese or paper mache. It can also lead to redness, itching, and soreness around the vaginal area.

  • Treatment: Over-the-counter antifungal creams or suppositories are commonly used. Your doctor may also prescribe oral antifungal medication.

• Bacterial Vaginosis (BV): This condition occurs when there is an imbalance of the natural bacteria in the vagina. It can cause discharge that is off-white or gray and may have a fishy odor, although you mentioned no odor.

  • Treatment: Antibiotics prescribed by a healthcare provider are typically used to treat BV.

• Contact Dermatitis: This could be a reaction to the new lubricant you used. It can cause redness, itching, and soreness.

  • Treatment: Avoiding the irritant and using soothing creams or ointments can help. Your doctor may recommend a topical steroid to reduce inflammation.

• Vaginal Dryness: This can be caused by various factors, including hormonal changes, medications, or irritants. It can lead to soreness, itching, and discomfort.

  • Treatment: Using a vaginal moisturizer or lubricant can help. Your doctor may also recommend hormone therapy if it's related to hormonal changes.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Avoid Irritants: Since you mentioned using a new lubricant, avoid using it and any other new products that might be causing irritation.
2. Over-the-Counter Treatments: Consider using an over-the-counter antifungal cream or suppository if you suspect a yeast infection.
3. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented soaps or douches.
4. Stay Hydrated: Drink plenty of water to help maintain overall health and hydration.
5. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better insights.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain: If the soreness or pain becomes severe or unbearable.
• Fever: If you develop a fever, which could indicate an infection.
• Worsening Symptoms: If your symptoms do not improve or worsen despite trying over-the-counter treatments.
• Unusual Odor: If you notice a strong, unusual odor accompanying the discharge.

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