HomeAnswersObstetrics and Gynecologyvaginal dischargeHow to treat vaginal itching with discharge?

I have itchy vagina with yellow discharge. Is this yeast infection?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Lorena Zijaj

Medically reviewed by

Dr. Vinodhini J.

Published At December 16, 2020
Reviewed AtDecember 16, 2020

Patient's Query

Hello doctor,

I had vaginal itching (mostly on the inside, also a bit on the outside) and whitish-yellow discharge. I took yeast infection medication and right after that, the itching and discharge stopped. But now I again have some discharge and a small amount of itching. My period is three weeks late, and I took a pregnancy test. It came back negative.

Answered by Dr. Lorena Zijaj

Hello,

Welcome to icliniq.com.

Usually, the symptoms continue for two to three days after the treatment. What medication have you taken? And for how long? Have you finished the treatment? Anyway, if the symptom continues, perform another vaginal swab to revaluate the infection.

Patient's Query

Thank you doctor,

I took Canesten 2% cream and I finished the treatment about two weeks ago.

Answered by Dr. Lorena Zijaj

Hello,

Welcome back to icliniq.com.

You can take a dose of Fluconazole 150 mg one table, single dose.

Patient's Query

Thank you doctor,

The assessment that I had a yeast infection was my own, not the doctor's diagnosis. I have had one episode before, and the symptoms were similar. But I am quite sure that is not what it was, and my discharge is not yellow colored previously. Should I still take Fluconazole? Also, is there a reasonable explanation for my delayed period (my periods were never late before)?

Answered by Dr. Lorena Zijaj

Hello,

Welcome back to icliniq.com.

To confirm a yeast infection, you have to perform a vaginal swab to diagnose the infection. In this case, the discharge should be white and thick like white cheese, and odorless. The symptoms that you prescribe are not related to pregnancy. If you have performed a pregnancy test after three weeks from your expected date, it means that you are not pregnant. I would recommend a beta hCG (human chorionic gonadotropin) blood test as it has high accuracy or another urinary pregnancy test. But at your age, irregular menstrual bleeding is quite common because of hormonal disturbance. Another option is to perform an ultrasound to exclude both pregnancy or PCOS. The latter is the major cause of irregular menstrual patterns.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Lorena Zijaj
Dr. Lorena Zijaj

Obstetrics and Gynecology

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