Itchy Clitoris and Abnormal Discharge: When to Seek Help

Clitoral itching and abnormal vaginal discharge?

A month ago, I underwent a gynecological examination due to blood-stained vaginal discharge.
The doctor informed me that there was slight inflammation in the vagina and prescribed an antifungal suppository for a 7-day treatment, advising that a follow-up visit was not necessary.
During the treatment, I did not experience any severe reactions, just some difficulty with insertion.
Two days after completing the treatment, I happened to be on my menstrual period and expelled a paper-like object at the vaginal opening, which was quite uncomfortable, so I removed it.
After my period ended, I experienced intense itching on both sides of the clitoral hood, along with a white, thick discharge that I could remove with a cotton swab.
The vaginal discharge was minimal and normal, but there were small white spots near the clitoris, and sometimes I felt a burning sensation in the urethra.
Should I see a doctor? I am feeling very distressed and hope to receive your guidance.
My lifestyle is irregular, and I habitually use Eve feminine wash daily.
During the treatment, I did not engage in safe sexual practices.

Tang Tang, 10~19 year old female. Ask Date: 2016/04/20

Dr. Lin Wenbin reply Obstetrics and Gynecology

Please come to the hospital for an examination before making a decision.

Reply Date: 2016/04/20

More Info

It sounds like you're experiencing a combination of symptoms that can be quite uncomfortable and concerning. Based on your description, you have had some vaginal inflammation treated with a medication, and now you are experiencing itching around the clitoris, abnormal discharge, and some discomfort in the urethra. Let's break down your symptoms and discuss when it might be necessary to seek medical help.

Firstly, the presence of blood in your discharge a month ago prompted a gynecological examination, which revealed some inflammation. This inflammation could have been caused by a variety of factors, including infections, irritations, or even hormonal changes. The treatment you received, which included a suppository, was likely aimed at reducing this inflammation. It's not uncommon for some women to experience changes in discharge and irritation after such treatments, especially if they are sensitive to medications or if the treatment alters the vaginal flora.

The symptoms you are currently experiencing, such as the intense itching around the clitoris and the presence of a white, sticky discharge, could indicate a few different conditions. One possibility is a yeast infection, which is characterized by itching, irritation, and a thick, white discharge. Yeast infections can occur after antibiotic treatments or changes in the vaginal environment. Another possibility is bacterial vaginosis, which can also cause abnormal discharge and irritation but typically presents with a different type of discharge (often thin and grayish) and a fishy odor.

The white spots you mentioned near the clitoris could be a sign of a few different things, including a benign condition like Fordyce spots (which are normal sebaceous glands) or a sign of irritation or infection. The burning sensation in the urethra could be related to irritation from the discharge or could indicate a urinary tract infection (UTI), especially if you are experiencing any additional symptoms such as increased frequency of urination or pain during urination.

Given the complexity of your symptoms and the fact that they have persisted after treatment, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination, possibly including a pelvic exam and laboratory tests, to determine the exact cause of your symptoms. They may take a sample of your discharge to check for infections, assess the health of your vaginal flora, and rule out any other potential issues.

In the meantime, here are a few general recommendations:
1. Avoid Irritants: Since you mentioned using a feminine wash daily, consider stopping its use, as these products can sometimes disrupt the natural balance of bacteria in the vagina and lead to irritation.

2. Wear Breathable Fabrics: Opt for cotton underwear and avoid tight-fitting clothing to reduce moisture and irritation.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the nature of the discharge, any new symptoms, and how long the itching persists.

4. Practice Safe Sex: If you are sexually active, consider using protection to reduce the risk of sexually transmitted infections (STIs) until you have been evaluated by a healthcare provider.

5. Stay Hydrated: Drinking plenty of water can help flush out your urinary system and may alleviate some discomfort if a UTI is present.

In summary, while some of your symptoms may resolve on their own, the combination of itching, abnormal discharge, and burning sensation warrants a visit to your healthcare provider. They can provide a proper diagnosis and treatment plan tailored to your specific situation, helping you find relief and peace of mind.

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