[24F] Experiencing persistent vaginal symptoms post-antibiotic treatment

Patient Description

A 24-year-old female reports a 2-month history of intermittent vaginal burning and tingling, not associated with urination, and a light green to yellow, thick, and sticky vaginal discharge. The discharge sometimes appears green on toilet paper but looks milky white when touched. The symptoms have persisted despite completing an antibiotic course for a suspected trichomoniasis infection. The patient also notes an unpleasant odor and has observed an ingrown hair in the genital area. No severe lower abdominal pain, fever, or new sexual partners were reported. The patient uses weed daily. There is no known history of allergies, chronic illnesses, or current use of other medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible conditions include:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of childbearing age. It occurs when there's an imbalance in the bacteria normally found in your vagina. Symptoms can include a thin white or gray vaginal discharge, pain, itching, and a strong fish-like odor, especially after sex.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Trichomoniasis: This is a sexually transmitted infection caused by a parasite. Even though you've taken antibiotics for this, it's possible that the infection hasn't completely cleared. Symptoms can include itching, burning, soreness, and a greenish-yellow, frothy vaginal discharge with a strong odor.

    • Treatment involves antibiotics. It's important that sexual partners are also treated to prevent reinfection.
  • Yeast Infection (Candidiasis): This is a common fungal infection that can cause itching, irritation, and a white, clumpy discharge. It doesn't typically have a strong odor.

    • Treatment involves antifungal medication, which can be either oral or topical.
  • Sexually Transmitted Infections (STIs): Other STIs, such as Gonorrhea or Chlamydia, can also cause similar symptoms. These infections can cause serious health problems if left untreated.

    • Treatment typically involves antibiotics.

What you can do

You should see a healthcare provider for an evaluation. They may perform tests to determine the cause of your symptoms and prescribe appropriate treatment. In the meantime, here are some general tips:

  1. Avoid douching, as this can disrupt the normal balance of bacteria in your vagina.
  2. Wear cotton underwear and avoid tight-fitting pants, as these can promote a moist, warm environment that can lead to infections.
  3. Avoid sexual intercourse until you've been evaluated by a healthcare provider, to prevent potentially spreading an infection.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or don't improve after treatment.
  • You develop severe lower abdominal pain.
  • You have a fever.
  • You have new or worsening sores or lesions in the genital area.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of bacterial vaginosis (BV)?

Common symptoms of bacterial vaginosis include a thin white or gray vaginal discharge, a strong fish-like odor, especially after sex, and sometimes pain or itching.


Can trichomoniasis persist after antibiotic treatment?

Yes, trichomoniasis can persist if the infection hasn't completely cleared, or if sexual partners are not treated simultaneously, leading to reinfection.


What are the typical signs of a yeast infection?

Typical signs of a yeast infection include itching, irritation, and a white, clumpy discharge. It usually does not have a strong odor.


How can sexually transmitted infections (STIs) be prevented?

STIs can be prevented by using condoms during sexual intercourse, having regular STI screenings, limiting the number of sexual partners, and ensuring that both partners are treated if an infection is diagnosed.


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