How to know is it any kind of vaginal infection or is it STI - #11624
I'm suffering from itching at my vagina and burning during pee since 4 months. This problem is started before period or after period. Please confirm me what kind of problem is it My age is 20 and I'm sexually active. I have one partner in my life
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Investigation
Urine routine & culture test Vaginal swab test / Pap smear
RX, Cap. Fluconazole 150 mg single dose orally (for vaginal fungal infection)
Clotrimazole 2% vaginal cream apply locally at night × 7 days
Your symptoms suggest recurrent vaginal fungal infection with possible UTI. This is common in young women and often linked to hormonal changes around periods. With proper antifungal + urinary treatment, it usually improves. If it keeps recurring, both you and your partner should be evaluated and treated together, and further tests for diabetes/STIs may be needed
Hello Sneha, thank you for sharing your concern. Here is my advise -
1. Get done these tests for now - CBC, Urine Routine & Microscopy. Optional - Urine Culture & Sensitivity. Get done these tests to rules out Urinary Tract Infection. For STI, we can see after these reports come and response to my treatment. Review with the reports.
2. Here is my prescription - Drink plenty of oral liquids (3-5 litres/day). Maintain good genital hygeine & keep the area dry. Whenever washing, wash only with water. Wear cotton undergarments. Tab. Oflox + Oz twice a day × 7 days Clotrimazole vaginal pessary 500mg only once Cap. Pantop + DSR, before breakfast × 7 days Syp. Urine Alkalinizer 2tsp + 1/2 glass water thrice a day Tab. Drota + Mf if pain in abdomen.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Hi Sneha,
Please visit your gynaecologist and get these tests: Urine analysis Vaginal swab test
It can be fungal infection may be associated with urinary tract infection. Need to confirm.
🛑Don’t self medicate without testing since its been 4 months. Wear clean cotton underwear Avoid tight clothes & harsh soaps Wash with plain warm water
Please don’t delay the treatment
I hope this helps. Feel free to talk Thank you
Hello dear See as per clinical history it seems vaginal infection predominantly fungal Iam suggesting some medications and precautions Kindly follow them for atleast 15 days Topical Antifungals powders-Clotrimazole- Candid/clomed/clozed. Micogel to be applied topically Nizoral for Skin application Terbinafine 250 mg twice a day for 5 days ( oral) Fluconazole Diflucan Itraconazole -Sporanox ( on prescription by general physician only) Fusidic acid/lulliconazole topical 3-4 times for 5 days In addition, following preventive measures should be taken Dry the involved organ Prevent moisture contamination Some medications are harmful so regular liver function tests are must Hopefully you recover soon In case of no improvement consult general physician in person for better clarification Regards
Hello, You may be suffering form urinary or vaginal infection.
Get these tests done: 1. CBC 2. Urine-r/m 3. Urine-c/s
Follow the precautions and treatment: 1. Syrup Alkasol 2tsp in 1/2 glass water twice daily for 3 days 2. Tablet Meftla-spas twice daily for 3 days 3. Candid vaginal pessary for 6 days at night 4. Drink 1.5-2 lit. water daily 5. Maintain local hygiene 6. Avoid intercourse for 7 days
Follow up with the reports. Take care
Based on what you’ve described—itching and burning during urination for several months—there are a few possibilities to consider. It could be a vaginal infection like a yeast infection or bacterial vaginosis, or it might be an STI. Since you’re experiencing these issues related to your menstrual cycle, it might also be linked to hormonal changes affecting the vaginal flora. A yeast infection often causes itching, redness, and sometimes a discharge that’s typically thick and white. Bacterial vaginosis can lead to a thin, gray discharge with a fishy odor, particularly noticeable after intercourse. Meanwhile, sexually transmitted infections such as chlamydia, gonorrhea, or trichomoniasis might produce symptoms like burning during urination and unusual discharge, although they can also be asymptomatic at times. The key to proper diagnosis involves seeing a healthcare provider for evaluation. They’ll likely perform a pelvic exam and take samples for laboratory testing. This is crucial because treatments differ significantly: antifungal medications for yeast infections, antibiotics for bacterial vaginosis, and specific antibiotic regimens for STIs. If left untreated, STI’s in particular can lead to more serious complications, so accurately identifying the cause of your symptoms is important. Meanwhile, avoid self-medicating with over-the-counter treatments until you have a verified diagnosis. In terms of day-to-day management, wearing breathable cotton underwear and avoiding irritants like douches or scented products might help reduce symptoms. But ultimately, a medical evaluation is your best course of action to get to the root of the issue and ensure appropriate treatment. Given the potential implications on your reproductive health, don’t delay reaching out to a healthcare provider.
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