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What causes vaginal itching and paste-like white vaginal discharge?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My wife has been having itching in the vagina and white discharge in the form of paste for the past two to three days.

Kindly help.

Answered by Dr. Busi Maneesha

Education:

MBBS

Professional Bio:

Dr. Busi Maneesha is an Obstetrician and Gynecologist graduated MBBS from Dr. NTR University of Health Sciences in 2014. She obtained her Diploma in Obstetrics and Gynecology in 2017 from Guntur Medical College. She has ten years of clinical experience. Currently, she is working as a Assistant Civil Surgeon in Vishakhapatnam.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to iclinic.com.

I need to know some detailed history to help to better.

1) When was her last period?

2) What is the color of discharge?

3) Is the discharge curdy white or some greyish white?

4) Does it have a foul-smelling odor?

5) Is there any redness over the itching area?

6) Does she have burning during urination?

All this information is necessary to diagnose vaginal discharge because discharge may be physiological during ovulation time and in the premenstrual phase. It may be due to a bacterial infection, fungal infection, or other causes.

Thanks.

Patient's Query

Hello doctor,

Thanks for the reply.

She had her last period 20 days ago. The white vaginal discharge is foul-smelling. The discharge is white, curd-like consistency, and frothy. Redness is there in and around the vagina, along with itching. There is no abdominal pain and burning sensation while urinating.

Thanks.

Answered by Dr. Busi Maneesha

Education:

MBBS

Professional Bio:

Dr. Busi Maneesha is an Obstetrician and Gynecologist graduated MBBS from Dr. NTR University of Health Sciences in 2014. She obtained her Diploma in Obstetrics and Gynecology in 2017 from Guntur Medical College. She has ten years of clinical experience. Currently, she is working as a Assistant Civil Surgeon in Vishakhapatnam.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

She is suffering from a mixed vaginal infection (both bacterial and fungal) of bacterial vaginosis and candidiasis. For symptomatic relief, I suggest she use Candid -CL vaginal suppositories (Clindamycin and Clotrimazole) once at night for six days, tablet Allegra 180 mg (Fexofenadine) once at night for three days, tablet Metrogyl 400 mg (Metronidazole) thrice daily for seven days, and Candid dusting powder (Clotrimazole) daily after cleaning the genitals. Keep the area dry and wash undergarments with mild soap only. Use barrier contraception (condoms) if you are sexually active. If she is not relieved with the treatment mentioned above, she should start oral antifungals, and treating the partner is also needed.

Take care.

Investigations to be done

RBS (random blood sugar) and vaginal wet mount test.

Preventive measures

Proper genital hygiene.

Regarding follow up

Revert after one week.
Medically reviewed by iCliniq medical review team
Published At October 13, 2021
Reviewed At January 23, 2024

Education:

MBBS

Professional Bio:

Dr. Busi Maneesha is an Obstetrician and Gynecologist graduated MBBS from Dr. NTR University of Health Sciences in 2014. She obtained her Diploma in Obstetrics and Gynecology in 2017 from Guntur Medical College. She has ten years of clinical experience. Currently, she is working as a Assistant Civil Surgeon in Vishakhapatnam.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Busi Maneesha is an Obstetrician and Gynecologist graduated MBBS from Dr. NTR University of Health Sciences in 2014. She obtained her Diploma in Obstetrics and Gynecology in 2017 from Guntur Medical College. She has ten years of clinical experience. Currently, she is working as a Assistant Civil Surgeon in Vishakhapatnam.

This doctor is not available for online consultations on the platform anymore.

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