[26F] With persistent thick white vaginal discharge and itching

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 thick, white vaginal discharge and itching. Yeast infections can recur, especially if the balance of bacteria and yeast in the vagina is disrupted. Treatment typically involves antifungal medications, which can be prescribed by a doctor or found over-the-counter.

• Bacterial Vaginosis (BV): Although you have already been treated for BV, it is possible for it to recur. BV can cause discharge and itching, although the discharge is usually thin and grayish. Treatment involves antibiotics, but recurrent BV may require a different approach or longer treatment.

• Sexually Transmitted Infections (STIs): Some STIs, such as chlamydia or gonorrhea, can cause vaginal discharge and itching. Since you have not been tested recently, it would be important to rule out these infections. Testing and treatment are essential, and antibiotics are typically used for bacterial STIs.

• Contact Dermatitis: This is an irritation of the skin caused by contact with an allergen or irritant. It can cause itching and swelling. Identifying and avoiding the irritant is key, and topical treatments can help alleviate symptoms.

What you can do

1. Get Tested for STIs: Since you have not been tested recently, it is important to rule out any sexually transmitted infections. Visit a healthcare provider for a comprehensive STI screening.

2. Consult a Healthcare Provider: Given the recurrence of your symptoms, it would be best to consult a doctor. They can provide a formal assessment, order relevant tests, and prescribe appropriate treatments.

3. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented products, douches, or harsh soaps that can disrupt the natural balance of bacteria and yeast.

4. Over-the-Counter Treatments: If you suspect a yeast infection, you can try over-the-counter antifungal treatments. However, it is still important to consult a healthcare provider to confirm the diagnosis.

5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This can help you and your healthcare provider understand your condition better and tailor your treatment plan.

What you should look out for

• Worsening Symptoms: If your symptoms worsen or do not improve with treatment, seek medical attention promptly.

• New Symptoms: If you develop new symptoms such as fever, severe pain, or unusual bleeding, see a doctor immediately.

• Recurrent Infections: If you experience recurrent infections, it is important to work with your healthcare provider to identify any underlying causes and develop a long-term management plan.

Remember, while I can provide information and suggestions, I am not a doctor. It is important to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.