[26F] With persistent vaginal and anal 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 fungal infection that can cause itching and irritation in the vaginal and anal areas. Although you mentioned that the 1-day Monistat treatment did not help, sometimes a longer course of antifungal treatment is needed.

  • Treatment: Over-the-counter antifungal creams or suppositories, or prescription medications from a healthcare provider.

• Contact Dermatitis: This is an allergic reaction to substances that come into contact with your skin, such as soaps, detergents, or personal care products. Even if you haven't used new products, sometimes sensitivities can develop over time.

  • Treatment: Avoiding the irritant and using topical corticosteroids to reduce inflammation.

• Pinworms: These are small parasitic worms that can cause itching around the anus, especially at night. They are more common in children but can affect adults as well.

  • Treatment: Prescription medications to eliminate the worms.

• Sexually Transmitted Infections (STIs): Some STIs, such as trichomoniasis or herpes, can cause itching and irritation in the genital and anal areas.

  • Treatment: Antibiotics or antiviral medications prescribed by a healthcare provider.

What you can do

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

1. Maintain Good Hygiene: Keep the affected areas clean and dry. Use mild, unscented soaps and avoid douching.
2. Avoid Irritants: Steer clear of scented products, tight clothing, and any known irritants.
3. Over-the-Counter Treatments: You might try a longer course of antifungal treatment if you suspect a yeast infection. However, consult a healthcare provider if symptoms persist.
4. Hydration and Diet: Drink plenty of water and maintain a balanced diet to support your overall health.
5. Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain or Discomfort: If the itching becomes painful or unbearable.
• Unusual Discharge: Any unusual vaginal discharge that is different in color, consistency, or smell.
• Fever or Other Symptoms: If you develop a fever, chills, or other systemic symptoms.
• Persistent Symptoms: If your symptoms do not improve with over-the-counter treatments or if they worsen.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.