Patient's question:
Initially, I had some very small bubbles around my vaginal opening. They didn't hurt, itch, or cause any sensation, but I still felt a bit concerned and went to the hospital. I had a routine vaginal discharge test done, which showed negative results for yeast, trichomonas, and bacteria. The cleanliness level was 1, with only two items showing a plus sign (+). I felt I didn't have any significant issues, so the doctor didn't prescribe any medication. She said it was vulvitis.I bought a feminine hygiene wash to clean myself and used it at 11 PM after it dissolved. At first, it felt tingly and cool, which was quite comfortable. After about half an hour, I started to feel a slight tingling sensation. I didn't take it seriously and had sex with my husband around midnight. Afterward, I felt a bit uncomfortable due to the swelling and some mild edema. I've never had this symptom before after sex—swelling isn't something I would expect.
After sleeping, the swelling still persisted. I want to know what's going on—is it an allergy to the feminine hygiene wash? Besides that, I also want to ask about the small bubbles around my vaginal opening.
Doctor's answer:
Considering the possibility of vaginitis, the first step should be to conduct a thorough examination of the vaginal discharge to identify the type. Different types of medication should then be used based on the specific type.1. Trichomoniasis is characterized by localized vaginal pain and the recurrence of thin, foamy vaginal discharge. Metronidazole can be taken orally, while local use of metronidazole suppositories is recommended. Acidic solutions, such as acetic acid-chlorhexidine, can also be used.
2. Bacterial vaginosis may have mild symptoms, in which case an iodophor solution diluted 10-fold with water can be used for cleaning. For more severe symptoms, a specialist doctor should be consulted to examine and confirm the infectious microorganisms, followed by oral medication for anti-infection treatment.
3. Candidal vaginitis is characterized by the presence of "cheese-like" or yellow curd-like discharge in the vagina, and it is most often accompanied by external genital itching.