[25F] Experiencing intermittent genital itching, burning, and spotting

What might be happening

Based on the information you have provided, possible diagnoses include:

• Vaginal Yeast Infection: This is a common condition characterized by itching, burning, and sometimes a thick, white, clumpy vaginal discharge. Yeast infections can sometimes cause mild spotting.

  • Treatment typically involves over-the-counter or prescription antifungal medication.

• Bacterial Vaginosis: This is a condition caused by an imbalance in the normal bacteria found in the vagina. It can cause itching, burning, and sometimes a fishy-smelling discharge. It can also cause spotting.

  • Treatment typically involves prescription antibiotics.

• Sexually Transmitted Infections (STIs): Certain STIs, like chlamydia or gonorrhea, can cause itching, burning, and spotting.

  • Treatment typically involves prescription antibiotics.

• Vaginal Atrophy: This is a condition characterized by thinning, drying, and inflammation of the vaginal walls. It can cause itching, burning, and spotting. However, it is more common in postmenopausal women.

  • Treatment typically involves estrogen therapy.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

1. Avoid sexual intercourse until you have seen a doctor, as this seems to be exacerbating your symptoms.
2. Avoid using any perfumed products in the vaginal area, as these can further irritate the area.
3. Wear cotton underwear and avoid tight clothing to allow the area to breathe and reduce irritation.

What you should look out for

Reasons to see a doctor more urgently:

• If your symptoms worsen or do not improve
• If you develop severe abdominal pain
• If you develop a fever (temperature over >100.4°F) or chills
• If the bleeding becomes heavy or is associated with severe pain

Please remember that while I strive to provide accurate information, I am not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.