[22F] With vaginal sores and recent BV diagnosis
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
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Bacterial Vaginosis (BV): You mentioned being diagnosed with BV recently. BV can cause vaginal discharge and irritation, but it typically doesn't cause sores. However, the irritation from BV might lead to scratching, which can cause sores or exacerbate existing ones.
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Herpes Simplex Virus (HSV): Genital herpes can cause painful sores or ulcers in the genital area. These sores can sometimes resemble canker sores. Given your recent new sexual partner, it's important to consider this possibility. Testing for herpes can confirm this diagnosis.
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Irritation or Allergic Reaction: The sores could be due to irritation from scratching or an allergic reaction to a product used in the genital area. This could include soaps, detergents, or other personal care products.
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Other STIs: While less likely, other sexually transmitted infections could cause similar symptoms. It's important to get tested to rule these out.
Typical treatments for these conditions vary. BV is treated with antibiotics like Metronidazole, which you're already taking. Herpes is managed with antiviral medications, and irritation or allergic reactions are treated by avoiding the irritant and using soothing creams or ointments.
What you can do
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Continue Your Medication: Keep taking Metronidazole as prescribed for BV. It's important to complete the full course of antibiotics.
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Avoid Irritants: Use gentle, unscented products in the genital area to avoid further irritation. This includes soaps, detergents, and personal care products.
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Warm Baths: Continue taking warm baths to soothe the soreness and discomfort.
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Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying patterns or triggers.
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Consult a Healthcare Provider: It's important to see a healthcare provider for a thorough examination and testing, especially for herpes and other STIs. They can provide a formal diagnosis and appropriate treatment.
What you should look out for
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Worsening Symptoms: If the sores become more painful, increase in number, or if you develop new symptoms like fever or swollen lymph nodes, seek medical attention promptly.
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Persistent Symptoms: If your symptoms do not improve with treatment or if they recur, follow up with your healthcare provider.
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New Symptoms: Be alert for any new symptoms, such as unusual discharge, fever, or body aches, and report these to your healthcare provider.
Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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24 d ago