[21F] With vaginal itching and smelly discharge

What might be happening

Based on the information you have provided, the most likely diagnoses are:

• Yeast Infection (Candidiasis): This is a common fungal infection caused by an overgrowth of Candida. Symptoms often include itching, a thick white discharge that resembles cottage cheese, and sometimes a fishy odor.

  • Treatment: Over-the-counter antifungal creams or suppositories, such as clotrimazole or miconazole, are commonly used. Prescription antifungal medications may be necessary for more severe cases.

• Bacterial Vaginosis (BV): This is a bacterial infection that can cause a fishy odor and a thin, grayish-white discharge. Itching can also occur but is less common.

  • Treatment: BV is typically treated with prescription antibiotics, such as metronidazole or clindamycin.

• Trichomoniasis: This is a sexually transmitted infection caused by a parasite. It can cause a fishy odor, itching, and a frothy, yellow-green discharge.

  • Treatment: Trichomoniasis is treated with prescription antibiotics, usually metronidazole or tinidazole.

What you can do

While waiting to see a healthcare provider, you can try the following to help alleviate your symptoms:

1. Over-the-Counter Treatments: For a suspected yeast infection, you can try over-the-counter antifungal treatments available at most pharmacies.
2. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented soaps, douches, or feminine hygiene sprays, as these can irritate the area.
3. Wear Breathable Clothing: Opt for cotton underwear and avoid tight-fitting clothes to allow the area to breathe.
4. Avoid Irritants: Refrain from using any new products that could irritate the vaginal area.
5. Stay Hydrated and Eat a Balanced Diet: Drinking plenty of water and maintaining a healthy diet can support your overall health.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Reasons to see a doctor more urgently include:

• If your symptoms do not improve after using over-the-counter treatments.
• If you develop additional symptoms such as fever, pelvic pain, or unusual bleeding.
• If you experience severe discomfort or pain.
• If you have concerns about a possible sexually transmitted infection (STI).

Remember, while I can provide information and suggestions, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to ask.