[24F] Experiencing pimples and genital discomfort

Patient Description

A 24-year-old female has been experiencing small pimple-like bumps on her neck and arms for a couple of months, which appear to be whiteheads and are localized to one area on the neck and one area on the arms. They are not raised, itchy, or painful. The patient also reports severe itching in the genital area that started five days after unprotected intercourse, which occurred approximately three weeks ago. Additionally, she has been experiencing a burning sensation inside the vagina while urinating for the past four days, despite testing negative for a urinary tract infection. The patient has noticed fluid-filled blisters or sores in the genital area but no swollen lymph nodes currently. She has a history of itching in the past. The patient's medical history is unremarkable with no known allergies or chronic illnesses. She is currently taking several medications, including gabapentin, suboxone, duloxetine, vyvance, and adderall, with specific dosages for each. The patient takes Adderall and Vyvanse on the same day at different times.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Genital Herpes: This is a sexually transmitted infection that can cause small, painful blisters and open sores on your genital area. It can also cause itching and burning during urination. The virus can remain dormant in your body and cause outbreaks from time to time.

    • Treatment typically involves antiviral medication to manage outbreaks and reduce the risk of transmission to partners.
  • Urinary Tract Infection (UTI): Although you've tested negative for a UTI, it's possible to have a false-negative result. UTIs can cause pain and burning during urination, as well as changes in the smell of your urine.

    • Treatment typically involves antibiotics to clear the infection.
  • Contact Dermatitis: This is a skin reaction caused by contact with certain substances. It can cause a rash, itching, and bumps on the skin.

    • Treatment typically involves avoiding the substance that caused the reaction and using creams or ointments to relieve symptoms.

Please note that it's also possible that these symptoms could be caused by a combination of these conditions, or by something else entirely. It's important to see a healthcare professional for a formal diagnosis.

What you can do

  1. Schedule an appointment with a healthcare provider as soon as possible. They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.

  2. In the meantime, try to avoid scratching the itchy areas, as this can lead to further irritation or infection.

  3. Drink plenty of water to help dilute your urine and reduce burning during urination.

  4. Use a mild, fragrance-free soap for washing your genital area. Avoid using any products that could be irritating, such as douches or scented feminine hygiene products.

  5. If you're sexually active, consider using barrier methods (like condoms) to reduce the risk of sexually transmitted infections.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain
  • High fever
  • Difficulty urinating or complete inability to urinate
  • Blood in your urine
  • Symptoms that worsen or do not improve with treatment

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common symptoms of genital herpes?

Common symptoms of genital herpes include small, painful blisters or sores in the genital area, itching, burning during urination, and sometimes flu-like symptoms such as fever and swollen lymph nodes. The virus can remain dormant and cause recurrent outbreaks.


Can you have a urinary tract infection even if the test is negative?

Yes, it is possible to have a urinary tract infection even if the test is negative. False-negative results can occur, especially if the urine sample is diluted or if the infection is caused by bacteria not typically detected by standard tests.


What is contact dermatitis and how is it treated?

Contact dermatitis is a skin reaction that occurs when the skin comes into contact with an irritant or allergen. It can cause redness, itching, and bumps. Treatment involves avoiding the irritant and using topical creams or ointments to relieve symptoms.


Is it safe to take Adderall and Vyvanse on the same day?

Taking Adderall and Vyvanse on the same day is generally not recommended without medical supervision, as both are stimulant medications used to treat ADHD and can increase the risk of side effects such as increased heart rate, anxiety, and insomnia. It's important to follow a healthcare provider's guidance on medication use.


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