[24F] With vaginal itching, burning, and unusual odor

Patient Description

A 24-year-old female has been experiencing vaginal itching and burning for the past week or two, accompanied by an onion-like odor despite regular washing. The severity of the itching is rated as 6 out of 10. The symptoms came on suddenly and have not improved after discontinuing the use of a new body wash applied to the vaginal area. There are no changes in the color or consistency of vaginal discharge, no pain during urination, and no redness or swelling in the vaginal area. The patient has no history of allergies, skin conditions, pre-existing conditions, or chronic illnesses, and is not currently taking any medications. There have been no recent changes in diet or exposure to new environments.

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Arora's Assessment

Sure, Amy. Based on the information you've provided, here's some advice that might help you understand what's happening and what you can do next.

What might be happening

Based on your symptoms, a few possible explanations include:

  • Vaginal Yeast Infection (Candidiasis): This is a common condition caused by an overgrowth of yeast in the vagina. Symptoms often include itching, burning, and an unusual odor. While you haven't reported unusual discharge, the itching and burning are consistent with this condition.

    • Treatment: Over-the-counter antifungal creams or suppositories can be effective. If symptoms persist, a doctor may prescribe oral antifungal medication.
  • Bacterial Vaginosis (BV): This condition occurs when there's an imbalance of the natural bacteria in the vagina. It can cause itching, burning, and a strong odor, often described as fishy but can vary.

    • Treatment: BV is typically treated with antibiotics prescribed by a doctor.
  • Contact Dermatitis: This is an allergic reaction to a substance that has come into contact with your skin. Since your symptoms began after using a new body wash, this could be the cause.

    • Treatment: Avoiding the irritant and using soothing creams or ointments can help. If symptoms persist, a doctor may recommend a topical steroid.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Avoid Irritants: Since your symptoms started after using a new body wash, continue to avoid it and any other new products that might be causing irritation.
  2. Maintain Good Hygiene: Gently clean the vaginal area with warm water and avoid using harsh soaps or douches.
  3. Wear Breathable Clothing: Opt for cotton underwear and avoid tight-fitting clothes to allow the area to breathe.
  4. Over-the-Counter Treatments: Consider using over-the-counter antifungal creams if you suspect a yeast infection.
  5. Stay Hydrated and Eat a Balanced Diet: This can help support your overall health and immune system.
  6. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If the itching and burning become more severe or do not improve with over-the-counter treatments.
  • New Symptoms: If you develop unusual discharge, pain during urination, redness, or swelling.
  • Fever or Chills: These could indicate an infection that requires medical attention.

Remember, while I can provide guidance, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to reach out.

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5 mo ago

People Also Ask


What are the common symptoms of a vaginal yeast infection?

Common symptoms of a vaginal yeast infection include intense itching, burning, redness, and a thick, white discharge that resembles cottage cheese. An unusual odor is not typically associated with yeast infections.


How can bacterial vaginosis be distinguished from a yeast infection?

Bacterial vaginosis often presents with a strong, fishy odor, especially after intercourse, and a thin, grayish-white discharge. In contrast, a yeast infection usually causes thick, white discharge and does not have a strong odor. Itching and burning can occur with both conditions.


What steps can be taken to prevent contact dermatitis in the vaginal area?

To prevent contact dermatitis in the vaginal area, avoid using scented products, harsh soaps, or new body washes. Opt for hypoallergenic products and wear breathable, cotton underwear. It's also important to rinse thoroughly and pat dry after washing.


When should someone seek medical attention for vaginal itching and burning?

Medical attention should be sought if symptoms worsen, do not improve with over-the-counter treatments, or if new symptoms such as unusual discharge, pain during urination, redness, swelling, fever, or chills develop.


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