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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spotting Between Period, Severe Itching In Vulva, Vaginal Opening. Had Thick Dark White Discharge. Reason?

About a week ago I thought I was having some spotting in between my period (which I get around the 23 of the month). It was a reddish brown color that I assumed was just the blood turning brown from being old. I used tampons but only had about one tampon a day and it never really became a true period as my normal ones are. About 3 days ago I started having extreme itching around the vulva area and the entrance to the vagina. It doesn't appear to be red or inflamed at all. I went for a run yesterday and when finished my underwear had a very thick, dark discharge on it. Today after my run the discharge is now a very thick, dark white, greyish color but has no terrible smell. I used Monistat 1 yesterday night but my symptoms seem to have gotten worse in terms of the itching. I also used a plan B pill on Sept. 28th but my partner is my long term boyfriend and we have both been checked rather recently for any STDs and neither of us have any. I have not had a pap smear in about 3 years though as I didn't realize it was that long and have scheduled on for the end of this week but am just wondering if there is anything I can do for this itching or what could be the issue.
Fri, 18 Oct 2013
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OB & GYN Specialist,  's  Response
Hello,

Above clinical features are mostly suggestive of vaginal infection due to yeast or bacteria. Hormonal imbalance, stress, pelvic infection may cause irregular spotting or abnormal period discharge.

Here, you need to undergo one vaginal swab test to confirm the diagnosis. You can consult with your gynecologist regarding this.

TREATMENT: vaginal suppository (clindamycin and clotrimazole combination) at bed time for 3 days. Maintain genital hygiene and avoid sex till the problem is completely resolved. Good luck.
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Spotting Between Period, Severe Itching In Vulva, Vaginal Opening. Had Thick Dark White Discharge. Reason?

Hello, Above clinical features are mostly suggestive of vaginal infection due to yeast or bacteria. Hormonal imbalance, stress, pelvic infection may cause irregular spotting or abnormal period discharge. Here, you need to undergo one vaginal swab test to confirm the diagnosis. You can consult with your gynecologist regarding this. TREATMENT: vaginal suppository (clindamycin and clotrimazole combination) at bed time for 3 days. Maintain genital hygiene and avoid sex till the problem is completely resolved. Good luck.