OpenHealth Q&A

Persistent Vaginal Concerns for Four Months

Approximately four months ago, I (24-year-old female) started experiencing itchiness in my vulva. This symptom typically signals a yeast infection for me, so I opted for a pessary and applied the accompanying cream (Canesten). Thankfully, the symptoms began to subside, and shortly thereafter, I engaged in sexual relations with my husband. However, a few days later, the itchiness resurfaced, leading me to believe that the infection had not fully resolved. I repeated the Canesten treatment. The itchiness has been inconsistent, appearing and disappearing frequently. Whenever the itch seemed to subside, I noticed small cuts on my vulva, which also eventually healed, only for new symptoms to arise. Upon visiting my doctor, I was informed that the persistent issues could indicate a sexually transmitted infection (STI), especially since I had tried two doses of the pessary and two applications of fluconazole prior to my appointment, all without success. After conducting a self-swab at the doctor's office, thrush was ruled out when the results came back negative, which heightened my suspicion of an STI. I was then prescribed metronidazole, but unfortunately, it did not alleviate my symptoms. Following this, I sought further testing at a clinic, where I was screened for chlamydia, gonorrhea, syphilis, HIV, and HSV, all of which returned negative results. I subsequently returned to my doctor, who conducted a high vaginal swab and, to my surprise, confirmed the presence of thrush. Two weeks ago, I took another pessary, and thankfully, I have not experienced the original symptoms since, aside from some white discharge, which I have never monitored before; so I am uncertain if this is typical for me. Currently, I am facing an increase in urination frequency coupled with significant pressure around my urethra. I have tested negative for a urinary tract infection (UTI) on two occasions, although one test indicated a slightly elevated white blood cell count. Nevertheless, I continue to experience persistent, urgent urges to urinate. Additionally, I have been feeling discomfort in the lower left side of my abdomen and the lower right side of my back, sensations that align with kidney pain. Notably, prior to developing the initial thrush symptoms, I had discontinued my anti-anxiety medication. The doctor has suggested that this decision might be contributing to my heightened focus on my health concerns, implying that nothing may be physically wrong. Despite this, I have decided to pay for two more tests that screen for various STIs I had not previously encountered. The doctor also mentioned the possibility that my initial self-swab may have been performed incorrectly, which could clarify the initial negative result. However, this explanation does not account for my ongoing kidney discomfort and urination issues. I am reaching out to see if anyone has insights about what might be occurring in my situation?

Answers (1)

3/27/2025, 4:40:54 PM

OpenHealth AI

It sounds like you are experiencing a complex range of symptoms that have been quite distressing. The ongoing itchiness, urinary issues, and abdominal discomfort might indicate several potential underlying causes. Let’s break it down for clarity and practicality.

1. Understanding Your Symptoms:

   • The itchiness and the recurrent use of antifungal treatments suggest that you have had issues with yeast infections. The recent confirmation of thrush indicates that this may have been a persistent problem.
   • Frequent urination and pressure around the urethra, along with discomfort in the abdomen and back, could suggest either irritation or inflammation in the urinary tract or bladder, despite negative UTI tests.

2. Next Steps to Consider:

   • Monitor Symptoms: Keep a detailed diary of your symptoms, including the frequency of urination, any pain levels, and any changes in discharge. This will help identify patterns and assist in any further discussions with healthcare providers.
   • Hydration & Diet: Increase your fluid intake to help flush your urinary system. Avoid irritants such as caffeine, alcohol, and spicy foods that may aggravate urinary symptoms. Consider incorporating probiotic-rich foods, which can help maintain a healthy vaginal flora.
   • Avoiding Irritants: Opt for fragrance-free soaps and hygiene products to prevent further irritation to the vulva area.
   • Stress Management: Since there’s an indication your anxiety medication was discontinued, consider engaging in relaxation techniques such as mindfulness, yoga, or gentle exercise to help manage anxiety that may be exacerbating your focus on health concerns.

3. Follow-Up Actions:

   • Revisit Your Healthcare Provider: Given the complexity of your symptoms, it’s wise to have a follow-up appointment. Discuss the current symptoms with your doctor, focusing on the new pattern of urination and abdominal discomfort. Mention your previous tests and outcomes, and ask about further investigations or referrals to specialists (like a urologist or a gynecologist).
   • Re-evaluate Testing: Since there’s a slight concern regarding the initial swab's accuracy, discuss the potential for repeating that test or further exploring other infections, including less common STIs or conditions like interstitial cystitis, which can cause similar urinary symptoms.

4. Key Points to Discuss with Your Provider:

   • The recurrence of vaginal symptoms and the impact on your quality of life.
   • The urgency of your urinary symptoms and ongoing discomfort.
   • Your concerns about the psychological impact of your health issues and how it may relate to your overall well-being.

Your experience feels overwhelming, and it's important to address each symptom comprehensively while also considering your overall emotional health. Let me know if you need clarification on any specific point or further assistance!