[26F] With vaginal itching and discharge

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 vaginal itching and discharge. The discharge is often thick and white, resembling cottage cheese, but it can also be thin. Yeast infections can cause itching, especially around the time of your period due to hormonal changes.

  • 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 can cause a thin, white, or gray discharge with a fishy odor. Itching is less common but can occur.

  • Treatment: BV is typically treated with antibiotics prescribed by a doctor, such as metronidazole or clindamycin.

• Recurrent Infections: Given your history of chlamydia, yeast infection, and BV, it's possible that you might be experiencing recurrent infections. Sometimes, the balance of bacteria and yeast in the vagina can be disrupted, leading to repeated infections.

  • Treatment: A healthcare provider may recommend a longer course of treatment or maintenance therapy to prevent recurrence.

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 vaginal area clean and dry. Avoid using scented soaps, douches, or feminine hygiene sprays, as these can irritate the area.
2. Wear Breathable Clothing: Opt for cotton underwear and avoid tight-fitting clothes to allow the area to breathe.
3. Over-the-Counter Treatments: You can try over-the-counter antifungal treatments for yeast infections. These are available in creams, ointments, or suppositories.
4. Avoid Irritants: Since you haven't used any new products, continue to avoid potential irritants like scented sanitary products.
5. Track Your Symptoms: Use MDandMe to 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:

• Severe Pain or Discomfort: If the itching becomes unbearable or is accompanied by severe pain.
• Fever or Chills: These could indicate an infection that needs prompt medical attention.
• Unusual Bleeding: Any unusual vaginal bleeding or spotting should be evaluated by a healthcare provider.
• Persistent Symptoms: If your symptoms do not improve with over-the-counter treatments or if they worsen.

Remember, while this advice can help manage your symptoms, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.