[35F] With vaginal itching, mild discharge, and swollen vulva

Patient Description

A 35-year-old female has been experiencing moderate vaginal itching for a few days, which developed gradually. She also reports mild, thin, white discharge with no odor, swelling of the vulva, and scaly labia. There is no burning sensation or pain during urination, and no pain or discomfort during sexual intercourse, only itching. The patient had a change in sexual partners about two weeks ago. She does not have regular periods due to an IUD birth control. There has been no recent travel or exposure to new environments. The patient has no known pre-existing conditions, chronic illnesses, allergies, or adverse reactions to medications, and is not currently taking any medications.

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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 vaginal itching, swelling, and a white, thin discharge. Yeast infections are often associated with an imbalance in the vaginal flora, which can be triggered by factors such as hormonal changes, sexual activity, or a weakened immune system.

    • Treatment: Over-the-counter antifungal creams or suppositories are commonly used to treat yeast infections. In some cases, a doctor may prescribe oral antifungal medication.
  • Bacterial Vaginosis (BV): This condition occurs when there is an overgrowth of certain bacteria in the vagina, leading to symptoms like itching and discharge. However, BV typically causes a fishy odor, which you have not reported.

    • Treatment: BV is usually treated with antibiotics prescribed by a healthcare provider.
  • Contact Dermatitis: This is an allergic reaction that can occur due to exposure to irritants such as soaps, detergents, or personal hygiene products. It can cause itching, swelling, and scaly skin.

    • Treatment: Identifying and avoiding the irritant is key. Topical corticosteroids may be prescribed to reduce inflammation and itching.
  • Sexually Transmitted Infections (STIs): Some STIs, such as trichomoniasis or chlamydia, can cause vaginal itching and discharge. Given your recent change in sexual partners, this is a possibility.

    • Treatment: STIs are typically treated with antibiotics or antiviral medications, depending on the specific infection. It's important to get tested and treated promptly.

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 soaps, douches, or other products that can irritate the area.
  2. Wear Breathable Clothing: Opt for cotton underwear and avoid tight-fitting clothes to allow the area to breathe.
  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. Avoid Irritants: If you suspect contact dermatitis, try to identify and avoid any new products that may be causing irritation.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain or Discomfort: If the itching becomes severe or is accompanied by significant pain.
  • Fever or Chills: These could indicate an infection that requires prompt medical attention.
  • Unusual Discharge: If the discharge changes in color, consistency, or develops a strong odor.
  • Persistent Symptoms: If your symptoms do not improve with over-the-counter treatments or home remedies.

Remember, while this information can help you understand what might be happening, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include vaginal itching, swelling, and a white, thick or thin discharge that is typically odorless. Some people may also experience redness and irritation.


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

Yeast infections usually cause itching and a white, odorless discharge, while bacterial vaginosis often results in a thin, grayish discharge with a fishy odor. BV may not always cause itching.


What are some potential causes of contact dermatitis in the vaginal area?

Contact dermatitis in the vaginal area can be caused by exposure to irritants such as scented soaps, detergents, personal hygiene products, or even certain fabrics. Identifying and avoiding the irritant is crucial.


When should I see a doctor for vaginal itching and discharge?

You should see a doctor if you experience severe pain, fever, chills, unusual discharge with a strong odor, or if your symptoms persist despite using over-the-counter treatments or home remedies.


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1 Comments


Anonymous#38842

3 mo ago

You know Jo Jo got u girl

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