These symptoms suggest a possible combination of a vaginal infection, potentially a yeast infection, and a urinary tract infection (UTI). The severe itching, redness, and white discharge are typical of a candida yeast infection. The discharge from yeast infections is usually odorless, so an unpleasant smell could indicate bacterial involvement as well, such as bacterial vaginosis. The frequent urination, particularly at night, and urgency to urinate add a layer of complexity, pointing towards a urinary tract infection. You should see a healthcare provider soon for a pelvic examination, and it’s important to get a proper diagnosis. They might perform a swab test of the discharge to identify the specific cause, or a urine test to check for bacteria indicating a UTI. Treatments vary based on diagnosis. For yeast infections, antifungal medications like fluconazole (oral) or miconazole (topical) are often recommended. If bacterial vaginosis is present, antibiotics like metronidazole might be needed. UTIs might require a course of oral antibiotics such as nitrofurantoin or trimethoprim-sulfamethoxazole. Over-the-counter itch relief creams can help with discomfort, but avoid douching or using scented products, which can aggravate symptoms. Ensure a follow-up if symptoms persist, especially if it’s a recurring issue. Meanwhile, wearing cotton underwear and keeping the area dry can provide some relief. Stay hydrated to help flush out bacteria from your urinary system. If you develop fever, higher abdominal pain, or see blood in urine, seek medical help immediately, as these could indicate a more serious complication.
What is causing severe vaginal itching, redness, and unusual discharge with frequent urination at night? - #29469
“I am experiencing severe itching in my vaginal area, especially at night. There is redness and irritation, and due to scratching, there is some soreness. I also have white discharge with a bad smell. Additionally, I feel the need to urinate frequently, especially at night.”
How long have you been experiencing these symptoms?:
- 1-6 monthsHow would you rate the severity of your itching?:
- Moderate — affects daily activitiesHave you noticed any triggers that make the itching worse?:
- Hygiene products or soapsIs there any additional discharge aside from the white one?:
- No, just the white dischargeHave you experienced any other symptoms, such as fever or abdominal pain?:
- No, just itching and dischargeHow frequently do you feel the need to urinate?:
- Every couple of hoursHave you tried any treatments or remedies for these symptoms before?:
- Prescribed medication100% Anonymously
No sign-up needed.

Doctors' responses
Hello dear I think it is candidiasis. It will require comprehensive evaluation Please follow below precautions and medication for improvement Topical Antifungals powders-Clotrimazole- Candid/clomed/clozed twice a day for 15 days Micogel to be applied topically Nizoral for Skin application Terbinafine 250 mg twice a day for 5 days ( oral) Tolnaftate ointment
2. Oral Antifungal Medications Fluconazole Diflucan Itraconazole -Sporanox ( on prescription by general physician only) in addition Apply lulliconazole or fusidic acid topical application twice a day for 5 days Prevent moisture contamination Dry the involved organ
In case of no improvement consult general physician (medicine) for better clarity Hopefully you recover soon Regards
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.