[35F] With vaginal pain, swelling, and itching

What might be happening

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

• Vaginal Yeast Infection (Candidiasis): This is a common fungal infection that can cause itching, swelling, and pain in the vaginal area. It often presents with a thick, white discharge, but not always.

  • Treatment: Over-the-counter antifungal creams or suppositories can be effective. A doctor may prescribe stronger medication if needed.

• Bacterial Vaginosis (BV): This is another common condition caused by an imbalance of bacteria in the vagina. It can cause itching and discomfort, though it typically also involves a fishy-smelling discharge.

  • Treatment: Antibiotics prescribed by a doctor are usually required to treat BV.

• Contact Dermatitis: This can occur if the skin in the vaginal area has come into contact with an irritant or allergen, even if you haven't used new products recently. It can cause itching, swelling, and pain.

  • Treatment: Avoiding the irritant and using soothing creams or ointments can help. A doctor may prescribe a topical steroid to reduce inflammation.

• Sexually Transmitted Infections (STIs): Some STIs, such as herpes or trichomoniasis, can cause pain, itching, and swelling in the vaginal area. However, these often come with other symptoms like sores or unusual discharge.

  • Treatment: STIs require specific treatments, often involving antibiotics or antiviral medications prescribed by a doctor.

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. Over-the-Counter Treatments: If you suspect a yeast infection, you can try an over-the-counter antifungal cream or suppository.
2. Avoid Irritants: Refrain from using scented soaps, lotions, or other products in the vaginal area. Stick to gentle, unscented products.
3. Wear Loose Clothing: Opt for loose-fitting, breathable clothing and cotton underwear to reduce irritation.
4. Stay Hydrated: Drink plenty of water to help flush out any potential irritants.
5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes 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: If you develop a fever (temperature over 100.4°F).
• Unusual Discharge: If you notice a change in the color, consistency, or smell of your vaginal discharge.
• Sores or Blisters: If you develop sores, blisters, or other unusual lesions in the vaginal area.
• Difficulty Urinating: If you experience pain or difficulty while urinating.

Remember, while this information can help guide you, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment.