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Is Vaginal Itching Symptomatic Of An STD?

Posted on Thu, 2 Nov 2017

Question: I am suffering with periodic severe itching in vagina and labia since 2 weeks now. The itching is worse in morning and night. I had to stay wet for few hours 2 weeks ago getting drenched in rain, which I assume is the cause.Have been using lactacyd/v wash and coconut oil with camphor for relief. But the itching persists and has caused bruises too. Is it a normal infection or some STD I should be worrying about? Kindly help.

Answered by Dr. Dr. Kakkar (16 minutes later)

Brief Answer:
Kindly upload images and provide more information

Detailed Answer:
Hello. thank you for writing to us.

I am Dr. Kakkar (Dermatologist). I have gone through your query and have noted your concern.

Perhaps you have developed a fungal infection.
I request you to kindly upload a few images of the affected skin in "Reports Section" so that I am able to guide you better.
Are there any visible red patches/ rings shaped lesions?
Is there any abnormal vaginal discharge?any visible sores?
Are you sexually active? and does your partner complain of any itching?

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Kakkar (1 hour later)

Thanks si. I am not sure about an usual vaginal discharge but the vaginal area become a little watery when it itches especially in the morning. The discharge is whitish with no unusual smell. Cleaning the area with white tissue paper shows flakes of skin too. The itch is uncontrollable which has caused broken skin around the area too. Have been using coconut oil with camphor for controlling the itch however it doeant seem to remedy it.
Have attached images for better diagnosis. I am sexually active. My partner doesnt complaint of any itching but was diagnosed with warts near finger nails for which he had just finished the treatment. r

Answered by Dr. Dr. Kakkar (4 hours later)

Brief Answer:
Vaginal candidiasis

Detailed Answer:
Thank you.

You seem to have a yeast infection i.e candidal vulvovaginitis.
I suggest an oral antifungal e.g tab. fluconazole once a day for 3 days. In addition to that you may insert clotrimazole vaginal pessary every night for a week.
You may take an oral antihistamine e g tab. cetrizine once a day for symptomatic relief from itching.
Continue with vaginal expert wash. Avoid oil and camphor. Avoid sexual contact for a week.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (22 hours later)

Thankyou sir.
I have started with Fluconazole 150mg, candid v6 100mg and cetrizine 10mg. Kindly confirm if these are fine.
Also, what other care and precautions should I be taking for speedy recovery and prevention of its recurrence? Anything special I should include or exclude from my diet?

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
Candidal vulvovaginitis

Detailed Answer:
Hi.

These medications are fine. Avoid sexual contact for a week. No other special pecautions.
Let me know if you have any more questions.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (46 hours later)

Thanks sir.
The discharge almost still the same after taking all the three dosages of fluconazole 150 m with little improvement though. Would u suggest continuing the medicine or anything els that you would recommend?e

Answered by Dr. Dr. Kakkar (33 minutes later)

Brief Answer:
Oral Metronidazole

Detailed Answer:
Thank you.

I would also like to cover for 'bacterial vaginosis' that is due to alteration of bacterial vaginal flora in sexualy active females and is the most common cause of vaginitis apart from candida. Therefore i suggest adding a Tab. Metronidazole 400mg, 3 times a day for 5 days

Regards

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar