[24F] With intense vaginal itching and irritation post-BV treatment

Patient Description

A 24-year-old female has been experiencing intense itching inside her vagina for the past two days, which worsens after urination. The skin inside appears red and irritated, with a little swelling. The patient has not found anything that helps to soothe the itching. She has not been around any potential environmental irritants or people with similar symptoms and has not experienced this itching before. The itching came on suddenly. She has not used any new products, had any recent changes in sexual activity, or noticed any unusual discharge or odor. There have been no recent changes in diet, stress levels, or medications, except for completing a course of BV medication about two weeks ago, which initially improved her symptoms. She has not experienced any burning sensation during urination, pain during sexual intercourse, fever, or chills. Her last period was a week ago, and she does not have any pre-existing conditions or chronic illnesses. She is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Yeast Infection (Candidiasis): This is a common cause of vaginal itching and irritation. Yeast infections can occur after taking antibiotics, which can disrupt the natural balance of bacteria and yeast in the vagina. Symptoms often include intense itching, redness, swelling, and sometimes a thick, white discharge.

    • Treatment: Over-the-counter antifungal creams or suppositories are commonly used to treat yeast infections. If symptoms persist, a doctor may prescribe oral antifungal medication.
  • Bacterial Vaginosis (BV): Although you recently completed treatment for BV, it is possible for BV to recur. BV can cause itching, irritation, and a change in vaginal discharge, although you mentioned no unusual discharge.

    • Treatment: BV is typically treated with antibiotics prescribed by a doctor. If you suspect a recurrence, it is important to consult with a healthcare provider.
  • Contact Dermatitis: This can occur if the vaginal area comes into contact with an irritant or allergen, such as certain soaps, detergents, or hygiene products. Symptoms include itching, redness, and irritation.

    • Treatment: Avoiding the irritant and using soothing creams or ointments can help alleviate symptoms.

What you can do

While it is important to consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take to help alleviate your symptoms:

  1. Over-the-Counter Treatments: Consider using an over-the-counter antifungal cream or suppository if you suspect a yeast infection.
  2. Avoid Irritants: Avoid using scented soaps, bubble baths, and other potential irritants in the vaginal area. Stick to mild, unscented products.
  3. Wear Breathable Clothing: Wear cotton underwear and loose-fitting clothing to allow the area to breathe and stay dry.
  4. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid douching, as it can disrupt the natural balance of bacteria and yeast.
  5. Hydration and Diet: Drink plenty of water and maintain a balanced diet to support overall health.
  6. Use MDandMe: Use the MDandMe app to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Persistent or Worsening Symptoms: If your symptoms do not improve with over-the-counter treatments or continue to worsen.
  • Severe Pain or Discomfort: If you experience severe pain, swelling, or discomfort.
  • Unusual Discharge or Odor: If you notice any unusual discharge or a strong odor.
  • Fever or Chills: If you develop a fever or chills, as this could indicate an infection.

Remember, while I can provide information and suggestions, it is important to consult with a healthcare provider for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include intense itching, redness, swelling, and sometimes a thick, white discharge. It can also cause discomfort during urination or sexual intercourse.


Can bacterial vaginosis recur after treatment?

Yes, bacterial vaginosis can recur after treatment. It is important to follow up with a healthcare provider if symptoms return, as recurrent BV may require additional treatment.


What is contact dermatitis and how can it affect the vaginal area?

Contact dermatitis is an inflammation of the skin caused by contact with an irritant or allergen. In the vaginal area, it can cause itching, redness, and irritation. Avoiding the irritant and using soothing creams can help alleviate symptoms.


What steps can I take at home to alleviate vaginal itching and irritation?

To alleviate vaginal itching and irritation at home, consider using over-the-counter antifungal treatments if a yeast infection is suspected, avoid scented products, wear breathable clothing, maintain good hygiene, and stay hydrated.

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