[27F] With vaginal itching and mild lower abdominal pain

Patient Description

A 27-year-old female reports experiencing vaginal itching primarily at the opening of the vagina for about a week. The itching feels like a tiny tickle and has improved slightly after using Monistat, though it still persists and worsens with scratching. The patient denies any previous episodes of similar symptoms. Additionally, she reports a mild, infrequent pain in the lower abdomen. There are no changes in vaginal discharge, such as color, consistency, or odor. The patient has not been exposed to any known environmental irritants or individuals with similar symptoms. No recent changes in daily activities or hygiene products have been noted.

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Arora's Assessment

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, swelling, and discomfort in the vaginal area. The use of Monistat (an over-the-counter antifungal treatment) suggests that you might have suspected this. Yeast infections can cause a tickling itch and sometimes mild abdominal discomfort.

    • Treatment: Typically involves antifungal medications like Monistat. If symptoms persist, a doctor may prescribe a stronger antifungal medication.
  • Bacterial Vaginosis (BV): This is another common vaginal infection caused by an imbalance of bacteria. It can cause itching and discomfort, although it often comes with a distinct fishy odor and a thin, grayish discharge.

    • Treatment: Usually involves antibiotics prescribed by a healthcare provider.
  • Sexually Transmitted Infections (STIs): Some STIs, such as chlamydia or gonorrhea, can cause itching and mild abdominal pain. However, these often come with other symptoms like unusual discharge or pain during urination.

    • Treatment: Requires antibiotics prescribed by a healthcare provider.
  • Contact Dermatitis: This could be due to irritation from the use of a not-so-clean dildo. This can cause localized itching and discomfort.

    • Treatment: Avoiding the irritant and using soothing creams or ointments can help.

What you can do

  1. Continue Monitoring: Since you've already used Monistat and noticed some improvement, continue to monitor your symptoms. If the itching persists or worsens, it might be worth consulting a healthcare provider.
  2. Maintain Hygiene: Ensure that any objects used for sexual activity are thoroughly cleaned before use to prevent infections.
  3. Avoid Scratching: Try to avoid scratching the area as it can worsen the irritation.
  4. Stay Hydrated and Maintain a Balanced Diet: This can help your body fight off infections.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

  • Persistent or Worsening Symptoms: If the itching or abdominal pain persists or worsens, it is important to see a healthcare provider.
  • New Symptoms: If you notice any new symptoms such as unusual discharge, a strong odor, or pain during urination, seek medical attention.
  • Fever or Severe Pain: If you develop a fever or severe abdominal pain, seek medical care promptly.

Remember, while I can provide information based on your symptoms, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask


What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include itching, swelling, and discomfort in the vaginal area, as well as a thick, white discharge that resembles cottage cheese. There may also be redness and irritation.


How can I differentiate between a yeast infection and bacterial vaginosis?

Yeast infections typically cause itching and a thick, white discharge, while bacterial vaginosis often results in a thin, grayish discharge with a fishy odor. BV may not always cause itching. A healthcare provider can perform tests to accurately diagnose the condition.


What should I do if over-the-counter treatments for a yeast infection don't fully resolve my symptoms?

If over-the-counter treatments like Monistat do not fully resolve your symptoms, it is advisable to consult a healthcare provider. They may prescribe a stronger antifungal medication or investigate other potential causes of your symptoms.


Can mild abdominal pain be related to vaginal infections?

Yes, mild abdominal pain can sometimes be related to vaginal infections, such as yeast infections or sexually transmitted infections. However, if the pain persists or is severe, it is important to seek medical evaluation to rule out other potential causes.


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