[45F] Experiencing intense vaginal itching and swelling

What might be happening

Based on the symptoms you've described, possible diagnoses include:

• Vaginal Yeast Infection: This is a common condition caused by an overgrowth of yeast (a type of fungus) in the vagina. Symptoms can include intense itching, swelling, and a change in the consistency of vaginal discharge. However, yeast infections often cause a thick, white, cottage cheese-like discharge, which you have not reported.

  • Treatment typically involves antifungal medication, which can be applied topically or taken orally.

• Bacterial Vaginosis (BV): This is a condition caused by an imbalance in the normal bacteria in the vagina. Symptoms can include itching, burning, swelling, and a thin, watery discharge. The discharge may have a strong, fishy odor, especially after sex, which you have not reported.

  • Treatment typically involves antibiotics, which can be applied topically or taken orally.

• Vulvovaginal Candidiasis: This is a common condition caused by an overgrowth of Candida, a type of yeast, in the vagina. Symptoms can include intense itching, redness, swelling, and a change in the consistency of vaginal discharge. However, this condition often causes a thick, white, cottage cheese-like discharge, which you have not reported.

  • Treatment typically involves antifungal medication, which can be applied topically or taken orally.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

1. Continue with the baking soda baths and vinegar rinses if they are providing some relief.
2. Avoid scratching the area as much as possible, as this can further irritate the skin and potentially lead to a secondary infection.
3. Wear cotton underwear and loose-fitting clothing to allow the area to breathe and reduce irritation.
4. Avoid using scented soaps, lotions, or other products in the vaginal area, as these can further irritate the skin.

What you should look out for

Reasons to see a doctor more urgently:

• If your symptoms worsen or do not improve within a few days
• If you develop a fever or other signs of infection, such as warmth and redness spreading beyond the vaginal area
• If you notice a change in the color, consistency, or odor of your discharge

Please remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.