[27F] With vaginal irritation, discharge, and prolonged spotting

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Bacterial Vaginosis (BV): This is a common vaginal infection caused by an imbalance of bacteria in the vagina. Symptoms often include a strong, foul-smelling odor, white or gray discharge, and vaginal irritation or burning.

  • Treatment: BV is typically treated with antibiotics prescribed by a healthcare provider. Common medications include metronidazole or clindamycin.

• Yeast Infection: This is another common vaginal infection caused by an overgrowth of yeast (Candida). Symptoms can include itching, burning, and a thick, white discharge that resembles cottage cheese.

  • Treatment: Over-the-counter antifungal medications like clotrimazole or miconazole can be effective. A healthcare provider may also prescribe oral antifungal medication.

• Hormonal Imbalance: The Nexplanon implant can sometimes cause changes in menstrual bleeding patterns, including prolonged spotting. Hormonal changes can also affect vaginal health, potentially leading to symptoms like irritation and discharge.

  • Treatment: If the symptoms are due to the Nexplanon implant, your healthcare provider may discuss alternative birth control options or provide treatments to manage the symptoms.

• Urinary Tract Infection (UTI): A UTI can cause symptoms like a burning sensation when urinating and a decrease in urine output. While it typically doesn't cause vaginal discharge, it can sometimes be associated with other infections.

  • Treatment: UTIs are usually treated with antibiotics 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 vaginal area clean and dry. Avoid using scented products, which can cause irritation.
2. Stay Hydrated: Drink plenty of water to help flush out any potential infections and maintain overall health.
3. Over-the-Counter Treatments: If you suspect a yeast infection, you can try over-the-counter antifungal treatments. However, it's best to consult a healthcare provider before starting any treatment.
4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This information can be very helpful for your healthcare provider.
5. Avoid Irritants: Wear loose-fitting, breathable cotton underwear and avoid tight clothing that can cause irritation.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Pain: If you develop severe abdominal or pelvic pain.
• Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills.
• Worsening Symptoms: If your symptoms worsen or do not improve with over-the-counter treatments.
• Blood in Urine: If you notice blood in your urine or have difficulty urinating.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.