[22F] Experiencing vaginal itching, greenish discharge, and sore throat

Patient Description

A 22-year-old female presents with vaginal itching that is more intense at night and rates an 8 out of 10 in severity. The itching began gradually over the past couple of days and is internal. She has tried miconazole for relief. Additionally, she noticed a greenish vaginal discharge today, which she has never experienced before, after using a miconazole insert. The patient also reports a sore throat, redness in the vaginal area, and pain during urination and intercourse. She has a history of endometriosis, diagnosed four years ago, and has been on Dienogest 2mg daily since her diagnosis. She does not report any allergies or adverse reactions to medications and is not taking any other medications, supplements, or herbal remedies.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, the following conditions could be possible:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It happens when the normal balance of bacteria in the vagina is disrupted and replaced by an overgrowth of certain bacteria. Symptoms can include itching, burning, pain, and a "fishy" smelling discharge that may appear grayish or greenish.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Sexually Transmitted Infections (STIs): Certain STIs, like Gonorrhea or Trichomoniasis, can cause symptoms similar to what you're experiencing. These infections can cause a change in vaginal discharge, itching, and discomfort during urination or intercourse.

    • Treatment usually involves antibiotics. It's also important to inform your sexual partners so they can get tested and treated if necessary.
  • Yeast Infection: This is a common type of vaginal infection that can cause itching, redness, and a thick, white discharge. However, the discharge you're experiencing seems to be greenish, which is less typical for a yeast infection.

    • Treatment usually involves antifungal medication, which can be either over-the-counter or prescribed by a healthcare provider.

Your sore throat could be related to a common cold or other upper respiratory infection. However, it's also worth noting that certain STIs, like Gonorrhea, can also cause a sore throat.

What you can do

It's important to see a healthcare provider for an accurate diagnosis and appropriate treatment. They may need to perform certain tests, like a pelvic exam or a swab test, to determine the cause of your symptoms. In the meantime, here are some things you can do:

  1. Avoid sexual intercourse until you've been evaluated by a healthcare provider, as this could potentially spread an infection to your partner.
  2. Continue to monitor your symptoms and note any changes or new symptoms.
  3. Maintain good hygiene, but avoid douching, as this can disrupt the normal balance of bacteria in the vagina.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal or pelvic pain
  • Fever or chills
  • Increased redness, swelling, or pain in the vaginal area
  • Worsening of your current symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice is not a substitute for professional medical advice. Always seek the advice of a healthcare provider with any questions you may have regarding a medical condition.

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11 mo ago

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People Also Ask


What are the common symptoms of bacterial vaginosis?

Common symptoms of bacterial vaginosis include a thin, grayish or greenish discharge, a strong fishy odor, itching, and burning during urination. However, some women may not experience any symptoms.


Can sexually transmitted infections cause a sore throat?

Yes, certain sexually transmitted infections, such as Gonorrhea, can cause a sore throat if the infection is present in the throat, often due to oral sexual contact.


What are the typical symptoms of a yeast infection?

Typical symptoms of a yeast infection include intense itching, redness, swelling of the vaginal area, and a thick, white, cottage cheese-like discharge. Pain during urination or intercourse can also occur.


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

Bacterial vaginosis often presents with a thin, grayish or greenish discharge and a fishy odor, while a yeast infection usually causes a thick, white discharge without a strong odor. Itching is common in both, but the type of discharge and odor can help differentiate them. A healthcare provider can perform tests to confirm the diagnosis.


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