[22F] Experiencing vaginal ulcers, swollen groin lymph nodes, and pain while urinating

Patient Description

A 22-year-old female presents with vaginal ulcers, swollen groin lymph nodes approximately the size of a grape, and a burning sensation during urination. These symptoms have been present for a few days, with the lymph node swelling being a more recent development. The patient also reports fatigue and an itchy throat with a cough that began today. There is no fever or chills, no known drug allergies, and no other medications being taken. The patient has had unprotected sex with a previous partner. No pre-existing conditions or chronic illnesses have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Genital Herpes: This is a common sexually transmitted infection marked by genital pain and sores. The ulcers you described, along with the pain during urination and swollen lymph nodes, are common symptoms of a herpes outbreak.

    • Testing for herpes usually involves taking a swab from an ulcer. Treatment typically involves antiviral medication.
  • Chancroid: This is a sexually transmitted infection caused by a bacterium. It's characterized by painful sores in the genital area and may be accompanied by swollen, painful lymph nodes in the groin.

    • Testing for chancroid usually involves taking a swab from an ulcer. Treatment typically involves antibiotics.

Please note that these are only possible diagnoses. It's important to consult a healthcare professional for an accurate diagnosis.

What you can do

  1. Avoid sexual activity: While you have sores or symptoms of an outbreak, it's best to abstain from sexual activity to avoid transmitting the infection to others.
  2. Maintain hygiene: Keep the area clean and dry. Avoid touching the sores, and wash your hands immediately if you do.
  3. Pain relief: Over-the-counter pain relievers may help with discomfort. Warm baths may also provide relief.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or don't improve.
  • You develop a high fever.
  • You experience severe pain.

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of genital herpes?

Common symptoms of genital herpes include painful sores or blisters in the genital area, itching, burning during urination, and swollen lymph nodes in the groin. Some people may also experience flu-like symptoms such as fatigue and body aches.


How is chancroid different from genital herpes?

Chancroid is caused by a bacterial infection and is characterized by painful genital ulcers and swollen, painful lymph nodes. Genital herpes, on the other hand, is caused by a virus and typically presents with painful blisters or sores. Both conditions require different treatments, with chancroid being treated with antibiotics and herpes with antiviral medications.


What should I do if I suspect I have a sexually transmitted infection (STI)?

If you suspect you have an STI, it's important to see a healthcare professional for testing and diagnosis. Avoid sexual activity until you have been evaluated and treated, if necessary. Inform any recent sexual partners so they can also be tested and treated.


Can swollen lymph nodes be a sign of an STI?

Yes, swollen lymph nodes, especially in the groin area, can be a sign of an STI. This occurs as the body's immune response to the infection. It's important to get tested and treated if you suspect an STI to prevent complications and transmission to others.


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