[30F] With severe vaginal itching, pain, and fever

What might be happening

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

1. Genital Herpes:

   • Rationale: The presence of blisters, severe itching, burning during urination, and red welts around the clitoris are consistent with genital herpes. This is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV).
   • Typical Treatments: Antiviral medications such as acyclovir, valacyclovir, or famciclovir can help manage outbreaks and reduce symptoms. Your doctor may also recommend pain relief measures and topical treatments.

2. Yeast Infection (Candidiasis):

   • Rationale: The white discharge and severe itching could indicate a yeast infection. While yeast infections typically do not cause blisters, the irritation and redness could be exacerbated by scratching or secondary infections.
   • Typical Treatments: Antifungal medications, either over-the-counter (like clotrimazole or miconazole) or prescription (like fluconazole), can treat yeast infections. Your doctor may also recommend topical creams to reduce itching and irritation.

3. Contact Dermatitis:

   • Rationale: Although you haven't used new products, contact dermatitis can sometimes occur due to irritation from existing products or materials. The red welts and severe itching are consistent with this condition.
   • Typical Treatments: Avoiding the irritant, using topical corticosteroids, and taking antihistamines can help manage symptoms.

What you can do

For Genital Herpes:

• Seek Medical Attention: Given the severity of your symptoms and the presence of blisters, it's important to see a healthcare provider as soon as possible. They can confirm the diagnosis and prescribe antiviral medications.
• Pain Relief: Continue using cold compresses or ice packs to reduce pain and swelling. Over-the-counter pain relievers like ibuprofen can also help.
• Hygiene: Keep the affected area clean and dry. Avoid tight clothing and opt for loose, breathable fabrics.

For Yeast Infection:

• Antifungal Treatment: You can try over-the-counter antifungal treatments, but it's best to consult a healthcare provider for a proper diagnosis and prescription if needed.
• Hygiene: Maintain good genital hygiene, avoid douching, and wear cotton underwear to keep the area dry.

For Contact Dermatitis:

• Avoid Irritants: Identify and avoid any potential irritants. This includes soaps, detergents, and fabrics that may be causing the reaction.
• Topical Treatments: Over-the-counter hydrocortisone cream can help reduce inflammation and itching. Antihistamines can also provide relief.

General Advice:

• Stay Hydrated: Drink plenty of water to help your body manage the fever and flush out any potential infections.
• Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you and your healthcare provider identify patterns and triggers.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Increased Pain or Swelling: If the pain or swelling worsens significantly.
• Spreading Rash or Blisters: If the rash or blisters spread to other areas of your body.
• High Fever: If your fever continues to rise or you experience chills.
• Difficulty Urinating: If you have trouble urinating or notice blood in your urine.

Remember, while I can provide guidance based on your symptoms, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.