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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Itching In The Vagina?

I thought I had a yeast infection and called my OBGYN. I thought it may have been something different and asked to be seen. Appointment is on Sept 28th. Doc called in prescription of a single pill for yeast infection (but gave me two take take with a 3 day gap). Right labia minora swollen, burn and itch day after the pill was taken, they prescribe a cream to be inserted vaginally fro 7 days. Swelling has gone down, switched to Dove Sensitive Skin Soap but the pain and discharge (very light in color and smell) is still present. Now I see in increase in small white bumps. The bumps don t hurt, the entire area does. Should I go to the emergency room?
Tue, 21 May 2019
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General Surgeon 's  Response
Hello,

I can assume that you are currently suffering from a recurrent vaginal infection which gives rise to above said clinical feature. Most common causes are a vaginal yeast infection or trichomoniasis though it should be confirmed through medical tests.

In this context, you need to eliminate certain predisposing factors like:

1) Diabetes by undergoing one blood sugar (PPBS) test.
2) Presence of any STD by undergoing a complete STD panel.
3) Using hormonal pills/ IUD or inserting foreign objects (like tampon etc).
4) Other co-existence factors: frequent sexual intercourse, irregular diet habit, hormonal imbalance (in pre-menopausal age), poor genital hygiene, cervicitis/ vaginitis etc.

It may be aggravated by using a chemical substance like lubricant/ jelly during sex or soap/ detergent/ other bath products or cosmetics, causing repeated friction & irritation inside the vagina. It may extend labial swelling.

In this scenario, you must consult with a gynecologist for pelvic examination (with or without speculum) and relevant investigation (like vaginal swab test, urine examination, hormone assay etc) to pinpoint the diagnosis.

You may require proper antibiotic treatment and vaginal suppository at bedtime to get relief. Treatment should be started one week prior to your period. Take prescribed medicine from your treating doctor.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Swelling And Itching In The Vagina?

Hello, I can assume that you are currently suffering from a recurrent vaginal infection which gives rise to above said clinical feature. Most common causes are a vaginal yeast infection or trichomoniasis though it should be confirmed through medical tests. In this context, you need to eliminate certain predisposing factors like: 1) Diabetes by undergoing one blood sugar (PPBS) test. 2) Presence of any STD by undergoing a complete STD panel. 3) Using hormonal pills/ IUD or inserting foreign objects (like tampon etc). 4) Other co-existence factors: frequent sexual intercourse, irregular diet habit, hormonal imbalance (in pre-menopausal age), poor genital hygiene, cervicitis/ vaginitis etc. It may be aggravated by using a chemical substance like lubricant/ jelly during sex or soap/ detergent/ other bath products or cosmetics, causing repeated friction & irritation inside the vagina. It may extend labial swelling. In this scenario, you must consult with a gynecologist for pelvic examination (with or without speculum) and relevant investigation (like vaginal swab test, urine examination, hormone assay etc) to pinpoint the diagnosis. You may require proper antibiotic treatment and vaginal suppository at bedtime to get relief. Treatment should be started one week prior to your period. Take prescribed medicine from your treating doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon