[23F] With intense vulvar itching and abnormal discharge

What might be happening

Based on the information you've provided, here are a few possibilities:

• 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 medication, which can be obtained over-the-counter or prescribed by a healthcare provider.

• Bacterial Vaginosis (BV): This condition occurs when there's an imbalance in the bacteria normally found in the vagina. Symptoms can include itching, burning during urination, and a grayish or greenish, foul-smelling vaginal discharge.

  • Treatment usually involves antibiotics prescribed by a healthcare provider.

• Sexually Transmitted Infections (STIs): Certain STIs, such as trichomoniasis or gonorrhea, can cause symptoms similar to those you're experiencing. However, these are often associated with other symptoms that you have not reported, such as pain during sex.

  • Treatment for STIs typically involves antibiotics or antiviral medications, depending on the specific infection.

Please note that these are just possibilities and not a definitive diagnosis. To get a proper diagnosis, you should see a healthcare provider.

What you can do

1. Schedule an appointment with a healthcare provider: They can perform tests to determine the cause of your symptoms and prescribe appropriate treatment.

2. Over-the-counter treatments: If you suspect a yeast infection, over-the-counter antifungal treatments may provide relief. However, you should still see a healthcare provider to confirm the diagnosis and ensure you're treating the right condition.

3. Avoid irritating the area: Try to avoid scratching the area, as this can further irritate the skin and potentially lead to more serious problems, such as skin infections.

4. Practice good hygiene: Keep the genital area clean and dry. Avoid douching, as this can disrupt the normal balance of bacteria in the vagina.

What you should look out for

You should seek immediate medical attention if:

• Your symptoms worsen or do not improve after treatment
• You develop new symptoms, such as fever, abdominal pain, or pain during sex
• You have multiple sexual partners or a new partner and did not use barrier protection during sex

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.