[31F] With vulvar bumps and cuts, recently diagnosed with trichomoniasis

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Trichomoniasis

• Diagnosis: You mentioned that you tested positive for trichomoniasis. This is a common sexually transmitted infection (STI) caused by a parasite.
• Symptoms: While trichomoniasis often causes unusual discharge, it can also cause irritation and discomfort in the vulvar area, which might explain the cuts and bumps.
• Treatment: Trichomoniasis is typically treated with a course of antibiotics, such as metronidazole or tinidazole. It's important to complete the full course of medication and inform your sexual partner(s) so they can be treated as well.

Herpes Simplex Virus (HSV)

• Diagnosis: Your doctor mentioned the possibility of herpes. HSV can cause painful sores or blisters in the genital area.
• Symptoms: The small, red, painful bumps and cuts you described could be consistent with genital herpes, even if you don't have all the classic symptoms.
• Treatment: If herpes is confirmed, antiviral medications like acyclovir, valacyclovir, or famciclovir can help manage outbreaks and reduce symptoms.

What you can do

For Trichomoniasis

• Medication: Take the prescribed antibiotics as directed by your healthcare provider. Ensure your partner(s) are also treated to prevent reinfection.
• Hygiene: Maintain good genital hygiene. Avoid douching, as it can disrupt the natural balance of bacteria in the vagina.
• Abstinence: Avoid sexual activity until you and your partner(s) have completed treatment and are symptom-free.

For Possible Herpes

• Consultation: Follow up with your healthcare provider for further testing to confirm or rule out herpes.
• Pain Relief: Over-the-counter pain relievers like ibuprofen can help manage pain. Applying a cold compress to the affected area may also provide relief.
• Avoid Irritants: Wear loose-fitting, cotton underwear and avoid using scented products in the genital area.

General Tips

• Hydration: Drink plenty of water to help flush out your system and reduce the pain when urinating.
• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help in managing your condition and adjusting treatment as needed.

What you should look out for

Given your symptoms and the potential for STIs, it's important to monitor for any worsening or new symptoms. Seek medical care if you experience:

• Increased Pain: If the pain becomes unbearable or significantly worsens.
• Fever: A fever could indicate an infection that needs immediate attention.
• Swollen Lymph Nodes: Tender, enlarged lumps in the groin area.
• New Symptoms: Any new or unusual symptoms, such as unusual discharge, severe itching, or additional sores.

Remember, while I can provide information and suggestions, it's crucial to follow up with your healthcare provider for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to continue the conversation.