[38F] With vaginal itching and discharge

Patient Description

A 38-year-old female reports experiencing itching around the outside of the vagina for about a week, following her last sexual encounter. The itching is somewhat relieved by Azo. She also notes a slight yellowish vaginal discharge, but no unusual odor or burning sensation during urination. She has not had any new sexual partners and did not use protection. She recalls a similar itching episode associated with a past yeast infection, but the discharge is new. Her last menstrual cycle just ended. She is currently taking Suboxone 4mg daily without any side effects or allergies. No history of sexually transmitted infections or other chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Yeast Infection (Candidiasis): This is a common cause of vaginal itching and irritation. It can also cause a yellowish discharge. Yeast infections are often treated with antifungal medications, which can be over-the-counter or prescribed by a doctor.

  • Bacterial Vaginosis: This condition can cause vaginal discharge and irritation. It often has a distinct odor, but not always. Treatment typically involves antibiotics prescribed by a healthcare provider.

  • Contact Dermatitis: This could be a reaction to a new product, such as soap, detergent, or fabric. Avoiding the irritant and using soothing creams can help.

What you can do

  • Over-the-Counter Treatments: Consider using antifungal creams or suppositories if you suspect a yeast infection. These are available at most pharmacies.

  • Avoid Irritants: Use unscented and gentle products for personal hygiene. Avoid douches and scented feminine products.

  • Stay Dry and Clean: Wear loose-fitting, breathable cotton underwear and avoid tight clothing to reduce moisture.

  • Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

  • Seek Medical Attention If:
    • Symptoms persist or worsen despite treatment.
    • You experience severe pain, fever, or unusual bleeding.
    • You notice a strong odor or significant change in discharge.

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include itching, irritation, and a thick, white discharge that resembles cottage cheese. Some people may also experience redness and swelling of the vulva.

How can bacterial vaginosis be distinguished from a yeast infection?

Bacterial vaginosis often causes a thin, grayish-white discharge with a fishy odor, which is different from the thick, odorless discharge typical of a yeast infection. Itching is less common in bacterial vaginosis.

What are some common irritants that can cause contact dermatitis in the vaginal area?

Common irritants that can cause contact dermatitis include scented soaps, detergents, fabric softeners, and personal hygiene products like douches or scented pads. Wearing tight clothing or non-breathable fabrics can also contribute.

When should I seek medical attention for vaginal itching and discharge?

You should seek medical attention if symptoms persist or worsen despite treatment, if you experience severe pain, fever, or unusual bleeding, or if there is a strong odor or significant change in discharge.

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