Persistent Itching and Discharge in the Perineal Area: When to Seek Help?

Persistent itching in the perineal area with increased discharge?

I used to experience intermittent itching in the genital area, which has been happening since early July.
Recently, the discharge has been yellow-green, mucus-like, and abundant, with occasional streaks of blood.
Around August 15, I noticed it was brown, and by August 19, it turned bright red.
Additionally, I have been experiencing symptoms similar to a urinary tract infection, such as a burning sensation after urination (sometimes occurring after wiping).
My mother, who is a nurse, says there is no need to see a doctor, but I would like to know what could be causing these symptoms.
Is this normal, or should I seek medical attention? Thank you!

Ling, 10~19 year old female. Ask Date: 2020/08/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is more likely that you are experiencing contact dermatitis or perineal inflammation.
It is advisable to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry.
Avoid wearing tight clothing.
You may soak in a bath to alleviate symptoms.
If symptoms persist or worsen, please seek a physician for diagnosis and treatment.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2020/08/19

More Info

Persistent itching and discharge in the perineal area can be concerning and may indicate an underlying medical condition that requires attention. Based on your description, it seems that you have been experiencing symptoms that have progressively worsened since early July, including yellow-green discharge, occasional blood streaks, and symptoms resembling a urinary tract infection (UTI). Given these symptoms, it is essential to seek medical help for several reasons.

Firstly, the presence of persistent itching and abnormal discharge, especially with changes in color and consistency, can indicate a variety of conditions. These may include infections such as bacterial vaginosis, yeast infections, sexually transmitted infections (STIs) like chlamydia or gonorrhea, or even more serious conditions like pelvic inflammatory disease (PID). The fact that you are experiencing a burning sensation after urination further suggests that a UTI or another infection may be present.

Secondly, the changes in the discharge—from yellow-green to brown and then bright red—are particularly concerning. Discharge that contains blood can be a sign of several issues, including infection, inflammation, or even more serious conditions such as cervical or vaginal issues. It is crucial to have these symptoms evaluated by a healthcare professional to determine the exact cause and appropriate treatment.

While your mother, being a nurse, may have her insights, it is important to remember that self-diagnosis or relying solely on home care can sometimes lead to complications, especially if the condition is worsening. Medical professionals can provide a thorough examination, including necessary tests such as a pelvic exam, urinalysis, or cultures to identify the specific cause of your symptoms.

In terms of when to seek help, you should definitely consider making an appointment with a healthcare provider if you experience any of the following:
1. Persistent or worsening symptoms, such as itching, burning, or discharge.

2. Discharge that has a foul odor or unusual color.

3. Symptoms that resemble a UTI, such as burning during urination, frequent urination, or abdominal pain.

4. Any signs of systemic infection, such as fever or chills.

Treatment will depend on the underlying cause identified by your healthcare provider. For instance, bacterial infections may require antibiotics, while yeast infections may be treated with antifungal medications. If an STI is diagnosed, appropriate treatment will be necessary to prevent complications and transmission.

In conclusion, while it may be tempting to wait and see if the symptoms resolve on their own, it is advisable to seek medical attention sooner rather than later. Early intervention can lead to better outcomes and prevent potential complications. Your health is important, and addressing these symptoms with a healthcare professional is the best course of action.

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