[39F] With sore throat, vulvar rash, and fever

What might be happening

Based on the symptoms you've described, there are a few potential conditions that could be contributing to your discomfort:

1. Sexually Transmitted Infections (STIs): Given the recent unprotected sexual encounter and the symptoms of a painful vulvar rash, white patches in the throat, and swollen lymph nodes, an STI such as herpes or syphilis could be a possibility. Herpes can cause painful sores and ulcers, while syphilis can present with a rash and systemic symptoms like fever.

2. Yeast Infection or Candidiasis: The cottage cheese-like discharge and vulvar irritation could suggest a yeast infection, although you mentioned it's not typical for you. Yeast infections can cause itching, irritation, and discharge.

3. Autoimmune Conditions: Your history of undiagnosed autoimmune issues might also play a role, as some autoimmune conditions can cause skin and mucosal changes, as well as systemic symptoms like fever.

4. Bacterial Infection: A bacterial infection could also be responsible for the sore throat with white patches and swollen lymph nodes, such as strep throat, which can sometimes coincide with other infections.

What you can do

Painful Vulvar Rash and Discharge:

• Seek Medical Attention: It's important to see a healthcare provider for a thorough examination and testing, especially given the possibility of an STI. They may perform swabs or blood tests to identify the cause.
• Avoid Irritants: Use gentle, unscented products for personal hygiene and avoid tight clothing that may irritate the area.
• Pain Management: Continue using over-the-counter pain relief like ibuprofen as needed, but follow the recommended dosage.

Sore Throat and Swollen Lymph Nodes:

• Stay Hydrated: Drink plenty of fluids to stay hydrated and soothe your throat.
• Rest: Ensure you get adequate rest to help your body fight off any infection.
• Gargle Salt Water: Gargling with warm salt water may help alleviate throat discomfort.

Fever:

• Monitor Temperature: Keep track of your fever and seek medical attention if it persists or worsens.
• Cool Compresses: Use a cool, damp cloth on your forehead to help reduce fever.

General Health:

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

What you should look out for

• Worsening Symptoms: If you experience increased pain, spreading of the rash, or new symptoms such as difficulty breathing or severe headache, seek medical care immediately.
• Persistent Fever: If your fever does not improve with over-the-counter medication or lasts more than a few days, consult a healthcare provider.
• New Symptoms: Be vigilant for any new symptoms that may arise, and report them to your healthcare provider.

Remember, while I can provide guidance based on your symptoms, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.