[21F] With vaginal pain, redness, and itching

Patient Description

A 21-year-old female reports experiencing vaginal pain, redness, and itching for the past two days. The pain is generalized around the vaginal opening and is particularly noticeable with pressure, such as when wiping. The patient finds some relief when laying down. She has not noticed any unusual vaginal discharge, changes in her menstrual cycle, new sores, or lesions in the genital area. The symptoms began a day after having protected sex with a condom. The patient has not experienced any fever or severe lower abdominal pain. She is currently taking Larin as a birth control medication and has no other pre-existing conditions or chronic illnesses. No known allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Vaginal Irritation or Contact Dermatitis: This can occur due to irritation from products such as soaps, lotions, or even condoms. Symptoms include redness, itching, and pain, especially with pressure.

    • Treatment: Avoid using any new products that might be causing irritation. Use hypoallergenic and fragrance-free products. Over-the-counter hydrocortisone cream might help reduce itching and inflammation.
  • Vaginal Atrophy: Though more common in postmenopausal women, it can occasionally occur in younger women, especially those on hormonal birth control. Symptoms include redness, itching, and pain.

    • Treatment: A healthcare provider might recommend topical estrogen or other medications to help restore the vaginal tissue.
  • Allergic Reaction: You might be having an allergic reaction to something you came into contact with, such as latex in condoms.

    • Treatment: Avoid the suspected allergen and consider using hypoallergenic or non-latex condoms. Over-the-counter antihistamines might help with itching.

What you can do

  1. Avoid Irritants: Stop using any new products that might be causing irritation. Stick to hypoallergenic and fragrance-free products.
  2. Maintain Good Hygiene: Keep the area clean and dry. Avoid douching, as it can disrupt the natural balance of bacteria in your vagina.
  3. Use Over-the-Counter Remedies: Consider using over-the-counter hydrocortisone cream for itching and inflammation. Antihistamines might also help if you suspect an allergic reaction.
  4. Wear Loose Clothing: Opt for loose, breathable cotton underwear and avoid tight clothing to reduce irritation.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If your symptoms worsen or do not improve with self-care measures.
  • Severe Pain: If you experience severe pain that interferes with your daily activities.
  • Fever or Chills: If you develop a fever or chills, which could indicate an infection.
  • Unusual Discharge: If you notice any unusual vaginal discharge, which could be a sign of an infection.

Remember, it is important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. This information is meant to guide you but should not replace professional medical advice.

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6 mo ago


People Also Ask


What are common causes of vaginal pain and itching after using a condom?

Common causes of vaginal pain and itching after using a condom include irritation or allergic reactions to latex or other materials in the condom. It could also be due to friction during intercourse or sensitivity to lubricants used with the condom.


Can hormonal birth control like Larin cause vaginal irritation?

Yes, hormonal birth control like Larin can sometimes cause vaginal irritation. This is because hormonal changes can affect the vaginal tissue, potentially leading to symptoms like dryness, redness, and itching.


What are some home remedies for relieving vaginal irritation and itching?

Home remedies for relieving vaginal irritation and itching include avoiding irritants such as scented soaps or lotions, using hypoallergenic products, applying over-the-counter hydrocortisone cream, and taking antihistamines if an allergic reaction is suspected. Wearing loose, breathable cotton underwear can also help.


When should I see a doctor for vaginal pain and itching?

You should see a doctor if your symptoms worsen, do not improve with self-care measures, if you experience severe pain, develop a fever or chills, or notice any unusual vaginal discharge.


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