[35F] With painful labial rash and vaginal discharge

What might be happening

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

• Genital Herpes: This is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). It often presents with painful sores or blisters in the genital area, which can burst and become ulcers. The "pins and needles" sensation you described is also typical of herpes.

  • Treatment: Antiviral medications can help manage outbreaks and reduce symptoms. These medications are usually prescribed by a healthcare provider.

• Bacterial Vaginosis (BV): This is a common vaginal infection caused by an imbalance of bacteria in the vagina. It often results in a discharge with a strong, fishy odor.

  • Treatment: Antibiotics prescribed by a healthcare provider can treat BV.

• Trichomoniasis: Given your history, it's possible that you could have a recurrence. This STI can cause vaginal discharge with an odor and discomfort.

  • Treatment: Antibiotics, usually metronidazole or tinidazole, are effective treatments.

• Contact Dermatitis: This could be a reaction to a new product or material that has come into contact with your genital area, causing redness, swelling, and pain.

  • Treatment: Identifying and avoiding the irritant is key. Topical corticosteroids can help reduce inflammation.

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. Avoid Irritants: Refrain from using any new soaps, lotions, or other products in the genital area that could be causing irritation.
2. Keep the Area Clean and Dry: Gently clean the affected area with mild soap and water, and keep it dry to prevent further irritation.
3. Over-the-Counter Pain Relief: You can use over-the-counter pain relievers like ibuprofen to help manage pain and inflammation.
4. Avoid Sexual Activity: Until you have a clear diagnosis, it might be best to avoid sexual activity to prevent potential transmission of an STI.
5. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can help you share detailed information with your healthcare provider.

What you should look out for

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

• Severe Pain: If the pain becomes unbearable or significantly worsens.
• Fever or Chills: These could indicate an infection that requires prompt medical attention.
• Spreading Rash: If the rash begins to spread to other areas.
• Difficulty Urinating: If you experience pain or difficulty while urinating.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.