Itching and Discomfort: When to Seek Gynecological Help - Obstetrics and Gynecology

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Worry, itching?


I had sexual intercourse in the past...
it was over two years ago.
I used to have white, chunky discharge, but now I don't have that.
Recently, I've been experiencing itching...
(in the summer, there is an unusual odor, and there were periods of time without recurrence, but now I'm starting to worry again.
I told my family about it, and they said it might be due to not keeping clean or possibly a bacterial infection...
The main point is that I'm really scared!!! What could this be? Will it get better? If I really need to see a doctor, how can I tell my family to take me to see one?

Lidi, 10~19 year old female. Ask Date: 2016/02/22

Dr. Yang Wangjun reply Obstetrics and Gynecology


Hello: The presence of white, chunky discharge accompanied by itching is most likely indicative of a Candida infection.
This type of fungus is not solely transmitted through sexual contact; a significant number of cases arise from environmental sources as well.
It typically infects squamous epithelial cells, which include the skin and vaginal mucosa, making it a common infection among women.
Treatment usually involves the use of topical vaginal suppositories.
Thank you for your message!

Reply Date: 2016/02/22

More Info


It sounds like you're experiencing some concerning symptoms, including itching and discomfort in the genital area, which can be distressing. It's important to understand that these symptoms can arise from various causes, and seeking medical help is a prudent step to ensure your health and peace of mind.

Firstly, itching and discomfort in the genital area can be caused by several factors, including infections (such as yeast infections or bacterial vaginosis), skin conditions (like eczema or contact dermatitis), or even hormonal changes. The presence of white, clumpy discharge you mentioned in the past could indicate a yeast infection, which is common and often characterized by itching and irritation. However, the absence of discharge now does not rule out other potential issues.

Your family member's suggestion that it could be due to not maintaining cleanliness is a common misconception. While good hygiene is essential, many infections can occur regardless of hygiene practices. It's also worth noting that certain products, such as soaps, detergents, or feminine hygiene products, can irritate the sensitive skin in the genital area, leading to discomfort.

Given that you have had a history of symptoms and are currently experiencing itching, it is advisable to consult a gynecologist. They can perform a thorough examination, possibly including a pelvic exam and lab tests, to determine the underlying cause of your symptoms. This is crucial because some conditions may require specific treatments, while others may resolve on their own.

When it comes to discussing your need to see a doctor with your family, it's important to approach the conversation openly. You might say something like, "I've been experiencing some discomfort and itching, and I think it would be a good idea to see a doctor to make sure everything is okay." Emphasizing that this is a common issue and that seeking help is a responsible step can help alleviate any concerns they might have.

In summary, while it can be daunting to address these symptoms, seeking medical advice is the best course of action. A healthcare professional can provide you with the appropriate diagnosis and treatment options, helping you to feel more comfortable and secure in your health. Remember, taking care of your reproductive health is just as important as any other aspect of your well-being, and there is no shame in seeking help when you need it.

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