[37F] With vaginal itching and white discharge

Patient Description

A 37-year-old female presents with a one-week history of severe itching localized to the outer lips and top of the clitoris, rated 7/10 in intensity. The patient also reports a thick, white vaginal discharge without any odor. Additionally, there is a burning sensation during urination and sex. The patient denies any recent new sexual partners and unprotected sex. There are no accompanying symptoms of severe lower abdominal pain, fever, chills, nausea, or vomiting. The patient has not found any relief for the itching thus far.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Yeast Infection: This is a common infection caused by an overgrowth of yeast. It can cause itching, irritation, and a thick, white, odorless discharge, often described as looking like cottage cheese.

    • Treatment typically involves antifungal creams or medication, which can be obtained over-the-counter or prescribed by a doctor.
  • Bacterial Vaginosis: This is a bacterial imbalance in the vagina. It can cause itching, burning, and a white or gray discharge. However, the discharge often has a fishy odor, which you did not report.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Vulvovaginitis: This is inflammation or infection of the vulva and vagina. It can cause itching, burning, and a variety of discharge types. It can be caused by many things, including yeast infections, bacterial infections, allergies, or irritants.

    • Treatment depends on the cause and can range from antifungal or antibiotic medication to avoiding certain products that may be causing irritation.

What you can do

You should consult a healthcare professional to get a proper diagnosis and treatment. In the meantime, here are some things you can do to help alleviate your symptoms:

  1. Avoid scratching the area, as this can further irritate the skin and potentially lead to more serious infections.
  2. Wear breathable cotton underwear and avoid tight-fitting pants or pantyhose.
  3. Avoid using scented soaps, bubble baths, or feminine hygiene sprays in the genital area.
  4. Try over-the-counter treatments for yeast infections, such as miconazole (Monistat) or clotrimazole (Gyne-Lotrimin), if you suspect that's what you have. But remember, it's always best to get a diagnosis from a healthcare professional.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve after trying over-the-counter treatments.
  • You develop severe lower abdominal pain.
  • You develop a fever or chills.
  • You notice a foul-smelling discharge.

Please remember that while I strive to provide accurate and helpful medical information, this advice is not a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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1 yr ago

Top picked over-the-counter products for Yeast Infection: Over-the-Counter Treatment

People Also Ask


What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include severe itching, irritation, a thick white discharge that resembles cottage cheese, and a burning sensation during urination or sex.


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

A yeast infection typically causes a thick, white, odorless discharge and intense itching, while bacterial vaginosis often results in a thin, gray or white discharge with a fishy odor. Itching is less common with bacterial vaginosis.


What over-the-counter treatments are available for yeast infections?

Over-the-counter treatments for yeast infections include antifungal creams or suppositories such as miconazole (Monistat) and clotrimazole (Gyne-Lotrimin). These are available at most pharmacies.


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

You should see a doctor if your symptoms do not improve after using over-the-counter treatments, if you experience severe lower abdominal pain, fever, chills, or if the discharge has a foul smell.


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