[24F] With yellow watery discharge and musty smell post sex toy use

Patient Description

A 24-year-old female presents with a yellow, watery discharge with a musty smell for at least two weeks. The symptoms began suddenly after using a sex toy, which was not cleaned properly before and after use. Initially, there was some itching, but it has since resolved. The patient denies any pain during urination or intercourse, changes in menstrual cycle, or unusual bleeding. She has not been tested for sexually transmitted infections recently and reports no history of such infections in herself or her partners. Her medical history is significant for epilepsy, diagnosed at age 2, currently managed with Briviact, lamotrigine, and topiramate, taken daily at doses of 100mg, 200mg, and 100mg respectively. She has no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Bacterial Vaginosis (BV): This is a common vaginal infection caused by an imbalance of bacteria in the vagina. It often results in a watery, yellow discharge with a fishy or musty odor. BV is not considered a sexually transmitted infection, but sexual activity can increase the risk.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.

  • Trichomoniasis: This is a sexually transmitted infection caused by a parasite. It can cause a yellow-green discharge with a strong odor, itching, and irritation.

    • Treatment involves a specific antibiotic, usually metronidazole or tinidazole, prescribed by a healthcare provider.

  • Vaginal Irritation or Infection from the Sex Toy: If the sex toy was not cleaned properly, it could introduce bacteria or irritants, leading to symptoms like discharge and itching.

    • Treatment would involve ensuring proper hygiene and possibly using over-the-counter treatments for irritation, but a healthcare provider should evaluate for infections.

What you can do

  1. Consult a Healthcare Provider: It's important to see a healthcare provider for an accurate diagnosis and appropriate treatment. They may perform tests to determine the cause of your symptoms.

  2. Maintain Proper Hygiene: Ensure that any sex toys are thoroughly cleaned before and after use to prevent infections.

  3. Track Your Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can help in diagnosing and managing your condition.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening symptoms or new symptoms such as pain, fever, or unusual bleeding.
  • If the discharge changes in color, consistency, or odor.
  • If you experience any side effects from medications or treatments.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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17 d ago

People Also Ask

What is bacterial vaginosis and how is it treated?

Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance of bacteria in the vagina. It often results in a watery, yellow discharge with a fishy or musty odor. BV is typically treated with antibiotics prescribed by a healthcare provider.

Can using a sex toy cause vaginal infections?

Yes, using a sex toy that is not properly cleaned can introduce bacteria or irritants into the vagina, potentially leading to infections or irritation. It's important to clean sex toys thoroughly before and after use to prevent such issues.

What are the symptoms of trichomoniasis?

Trichomoniasis is a sexually transmitted infection caused by a parasite. Symptoms can include a yellow-green discharge with a strong odor, itching, and irritation. It is treated with specific antibiotics, usually metronidazole or tinidazole, prescribed by a healthcare provider.

How can I maintain proper hygiene to prevent vaginal infections?

To maintain proper hygiene and prevent vaginal infections, ensure that any sex toys are thoroughly cleaned before and after use. Additionally, practice good personal hygiene, wear breathable cotton underwear, and avoid douching or using harsh soaps in the genital area.

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