[40F] Experiencing vaginal burning and itching with white discharge

Patient Description

A 40-year-old female presents with a 2-day history of moderate vaginal itching and burning, rated as a 4/10 in severity, particularly noted during urination. The patient also reports the presence of a white, clumpy, odorless vaginal discharge. No associated fever, chills, redness, or swelling has been observed. The patient has had recent unprotected intercourse with a new partner and denies any past medical history of similar symptoms, chronic illnesses, allergies, or current medication use.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. UTIs are more common in women, and many women experience them more than once. They can cause burning during urination and lower abdominal pain.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush bacteria out of your system.
  • Yeast Infection: This is a common fungal infection that can cause itching, burning, and white, clumpy discharge. It's not considered a sexually transmitted infection, but the fungus that causes yeast infections (candida) can spread through oral-genital contact or during intercourse.

    • Treatment typically involves antifungal medication, which can be taken orally or inserted into the vagina.
  • Sexually Transmitted Infections (STIs): Certain STIs, like chlamydia or gonorrhea, can cause burning during urination and vaginal discharge. Given your recent unprotected sexual encounter, this is a possibility.

    • Treatment typically involves antibiotics to clear the infection. It's important to inform your sexual partner(s) so they can also get tested and treated if necessary.

What you can do

You should seek medical attention to get a proper diagnosis. Your healthcare provider may perform a pelvic exam or order tests like a urine sample or vaginal swab to help determine what's causing your symptoms.

In the meantime, here are some things you can do to ease your discomfort:

  1. Drink plenty of water to help flush out your urinary system.
  2. Avoid irritants in the genital area, such as harsh soaps or bubble baths.
  3. Avoid sexual intercourse until you've seen a healthcare provider, to prevent potentially spreading an infection.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe lower abdominal pain
  • Fever or chills
  • Blood in your urine
  • Symptoms that worsen or do not improve after treatment

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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10 mo ago

People Also Ask


What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include vaginal itching, burning, and a white, clumpy discharge that is often odorless. Some women may also experience redness and swelling of the vulva.


How can I differentiate between a UTI and a yeast infection?

A UTI typically causes symptoms like burning during urination, frequent urge to urinate, and cloudy or strong-smelling urine. A yeast infection, on the other hand, is characterized by itching, burning, and a thick, white discharge. A healthcare provider can perform tests to accurately diagnose the condition.


What should I do if I suspect I have an STI after unprotected intercourse?

If you suspect you have an STI, it's important to see a healthcare provider for testing and treatment. Avoid sexual intercourse until you have been evaluated and treated, and inform your sexual partner(s) so they can also get tested and treated if necessary.


Are there any home remedies to relieve vaginal itching and burning?

To relieve vaginal itching and burning at home, you can try wearing loose-fitting, breathable cotton underwear, avoiding scented products in the genital area, and using a cold compress to reduce discomfort. However, it's important to see a healthcare provider for proper diagnosis and treatment.


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