[22F] Experiencing vaginal discharge and itching

Patient Description

A 22-year-old female reports experiencing a light yellow, cottage cheese-like vaginal discharge that is significant enough to soak through underwear. These symptoms have been occurring on and off for a couple of weeks. The patient has also been experiencing internal vaginal itching for the same duration. The use of boric acid sometimes alleviates the symptoms. There has been no change in sexual partners and no protection was used. The patient has had similar symptoms in the past.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely diagnosis is:

  • Vaginal Yeast Infection: This is a common condition caused by an overgrowth of yeast (a type of fungus) in the vagina. Symptoms often include itching, burning, and a thick, white, cottage cheese-like vaginal discharge.
    • Treatment typically involves antifungal medications, which can be taken orally or inserted into the vagina.

Less likely, but still possible, is:

  • Bacterial Vaginosis: This is a condition caused by an imbalance in the normal bacteria found in your vagina. Symptoms can include a thin, gray, white or green vaginal discharge, and a strong fishy odor, especially after sex. Itching or burning may occur, but less commonly than with a yeast infection.
    • Treatment typically involves antibiotics, which can be taken orally or inserted into the vagina.

What you can do

You should seek care from a healthcare professional to receive a formal diagnosis and appropriate treatment. In the meantime, here are some things you can do to help alleviate your symptoms:

  1. Avoid scratching the area, as this can lead to further irritation and possible infection.
  2. Wear cotton underwear and loose-fitting clothing to keep the area dry and prevent irritation.
  3. Avoid using harsh soaps or douches in the vaginal area, as these can disrupt the normal balance of bacteria and yeast.

What you should look out for

If your symptoms worsen or do not improve after treatment, you should seek medical attention. Other reasons to seek medical attention include:

  • Pain or discomfort during sexual intercourse
  • Fever or chills
  • Abdominal pain
  • If you develop a new rash or sores in the vaginal area

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common symptoms of a vaginal yeast infection?

Common symptoms of a vaginal yeast infection include itching, burning, and a thick, white, cottage cheese-like vaginal discharge. Some women may also experience redness and swelling of the vulva.


How can I differentiate between a yeast infection and bacterial vaginosis?

A yeast infection typically causes thick, white discharge and intense itching, while bacterial vaginosis often results in a thin, gray, white, or green discharge with a strong fishy odor. Itching is less common with bacterial vaginosis.


What are some effective treatments for a vaginal yeast infection?

Effective treatments for a vaginal yeast infection include antifungal medications, which can be taken orally or inserted into the vagina. Over-the-counter options are available, but a healthcare provider can prescribe stronger medications if needed.


Are there any lifestyle changes that can help prevent recurrent yeast infections?

To help prevent recurrent yeast infections, wear cotton underwear, avoid tight-fitting clothing, and refrain from using harsh soaps or douches in the vaginal area. Maintaining good hygiene and managing blood sugar levels if diabetic can also be beneficial.


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