Vaginal Discomfort: When to Seek Help and Treatment Options

Vaginitis? Antibiotics?

Hello, doctor.
I would like to ask you about an issue I experienced.
At the end of my menstrual period in July, I developed a pimple on my labia, which burst and caused a stinging pain due to not being fully drained, so I sought medical attention.
I took Jianqiao Xihualek capsules for a total of seven days and used the topical medication Wenketing ointment.
Shortly after, I tested positive for COVID-19 but had mild symptoms and did not seek medical care.
My symptoms from the virus have not fully resolved.
In August, during my menstrual cycle, I again experienced stinging and discomfort about halfway through, but this time there was no pimple (though the stinging sensation is quite similar to last time).
I checked with a mirror and saw no significant abnormalities; my discharge is normal and odorless, but I occasionally feel a stinging sensation, and sometimes there is a burning sensation at the vaginal opening.
Last night, I experienced a burning sensation during urination twice, but it went away afterward.
I would like to ask if I need to seek medical attention immediately, or should I observe for a few more days? Additionally, if it is vaginitis, are there other treatment options besides antibiotics? Thank you!

Xiao Hui, 40~49 year old female. Ask Date: 2023/09/04

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is recommended to maintain cleanliness and dryness in the perineal area, avoid tight-fitting clothing, minimize the use of panty liners, ensure adequate sleep, and follow a light diet.
Additionally, try to avoid stress and prolonged sitting.
Taking a sitz bath during showering may help alleviate symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2023/09/04

More Info

Vaginal discomfort can be a distressing experience, and it’s important to address it appropriately. Based on your description, it seems you have been experiencing recurrent symptoms of pain and discomfort in the vaginal area, particularly around the time of your menstrual cycle. The fact that you had a previous issue with a pimple-like lesion that required treatment, followed by a COVID-19 infection, adds complexity to your current situation.

Firstly, it’s crucial to understand that vaginal discomfort can arise from various causes, including infections (such as bacterial vaginosis, yeast infections, or sexually transmitted infections), hormonal changes, skin conditions, or even irritations from hygiene products. Given that you have experienced similar symptoms before, it may be indicative of a recurring issue, possibly related to hormonal fluctuations during your menstrual cycle.

The symptoms you describe—sharp pain, burning sensation during urination, and discomfort—could suggest a few potential conditions. For instance, a urinary tract infection (UTI) can cause burning during urination and may also lead to pelvic discomfort. However, since you mentioned that the burning sensation was intermittent and not persistent, it may not be a UTI. Another possibility is vulvodynia, a chronic pain condition affecting the vulvar area, which can cause discomfort without any visible signs of infection.

In terms of treatment options, if you suspect a vaginal infection, antibiotics may be necessary, especially if a bacterial infection is confirmed. However, if the discomfort is due to a yeast infection, antifungal treatments would be appropriate. Over-the-counter antifungal creams or suppositories can be effective for mild yeast infections.
Additionally, if your symptoms are related to hormonal changes, hormonal therapy or lifestyle adjustments may help alleviate discomfort. For instance, maintaining good vaginal hygiene, avoiding irritants (such as scented soaps or douches), and wearing breathable cotton underwear can help reduce irritation.

Given your current symptoms, it is advisable to seek medical attention sooner rather than later, especially since you have experienced a burning sensation during urination. A healthcare provider can perform a thorough examination, possibly including a pelvic exam, and may recommend tests such as a urinalysis or vaginal swab to identify any underlying infections.

Moreover, if you are experiencing significant discomfort that affects your daily life or sleep, it is important to address it promptly. Delaying treatment could lead to worsening symptoms or complications, especially if an infection is present.

In summary, while it may be tempting to wait and see if your symptoms improve, I recommend consulting with a healthcare professional to determine the exact cause of your discomfort and to receive appropriate treatment. Early intervention can lead to better outcomes and help alleviate your symptoms more effectively.

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