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Compliments of American Academy Of  Family Physicians

Genital Problems in Women

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Vaginal irritation and discharge are common problems for many women. Check this chart for help in understanding and self-treating many of these problems.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Are you having a vaginal discharge of normal color, consistency and smell, but the amount has increased? Yes --> This may be normal, related to hormone changes or use of oral contraceptives. --> See your doctor if the condition worsens or becomes bothersome.
No, go down        
2. Is the discharge white and curd-like, or is there redness, itching and irritation on the labia? Yes --> These symptoms are typical for a yeast infection or CANDIDIASIS. --> See your doctor if this is the first time you've had these symptoms so that he or she can confirm the diagnosis. Over-the-counter vaginal yeast medicines are available. Wear cotton underwear and avoid tight clothing to allow the area to breathe.
No, go down        
3. Is the discharge greenish yellow with an unpleasant odor? No --> Go to Question 5.*    
Yes, go down        
4. Do you have a fever or abdominal pain? Yes --> You may have a serious infection, PELVIC INFLAMMATORY DISEASE (PID), around your fallopian tubes, ovaries and uterus. --> URGENT
See your doctor promptly.
No --> Your discharge may be from a venereal infection, TRICHOMONIASIS, or BACTERIAL VAGINOSIS. --> See your doctor.

*5. Is the odor worse than the discharge? Yes --> A FOREIGN BODY, such as a forgotten tampon or contraceptive device, may cause odor and irritation. --> Remove the object and call your doctor if the irritation doesn't stop.
No, go down        
6. Do you have a painful or itchy rash over the labia or the skin near the vagina? Yes --> YEAST INFECTIONS are common. Other FUNGAL INFECTIONS and IRRITATION from feminine hygiene sprays can also cause this rash. --> Wear cotton underwear and keep the area as dry as possible. If only the skin is affected, use an over-the-counter antifungal cream. See your doctor if these simple measures don't help.
No, go down        
7. Do you have a tender swelling of the vaginal opening or swelling of one labia? Yes --> This swelling might be from an INFECTION in a mucous gland or an ABSCESS or infection in the labia. --> URGENT
Promptly see your doctor.
No, go down        
8. Do you have a sore or raw area on the outside or inside of the vagina? Yes --> HERPES infections and other SEXUALLY TRANSMITTED DISEASES often start with a sore. --> See your doctor.
No, go down        
9. Do you have pain with intercourse? No --> Go to Question 12.**    
Yes, go down        
10. Does your vagina seem dry, or do you have itching and irritation of the vagina? Yes --> Painful intercourse can be due to INFECTION and HORMONE DEFICIENCY. --> You may need to see your doctor to make sure you do not have an infection or hormone deficiency. Vaginal dryness can be relieved with vaginal lubricants.
No, go down        
11. Are you anxious about having sex? Yes --> Painful intercourse can be due to VAGINISMUS (vaginal muscle spasm). --> See your doctor if you think you may have vaginismus. Treatment is available.
No, go down        
**12. Do you have pain with urination? Yes --> You may have a bladder infection, or CYSTITIS. --> See your doctor. Drinking cranberry juice has been shown to protect some women from getting bladder infections, but it doesn't cure them once they start.
No, go down        
13. Do you leak urine when you cough, laugh or lift an object? Yes --> This is a symptom of STRESS INCONTINENCE, a common condition after having children. --> Discuss the problem with your doctor. You can strengthen your bladder with Kegel exercises. Frequently emptying your bladder helps prevent this problem; protective shields or adult diapers may be needed. Surgery may also be an option.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

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