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  Current Location:  Home > Clinical Services > Self-Care Guide
 
 
  Vaginal Problems  
 
 

Signs and Symptoms:

  • Bacterial Vaginosis - an infection from one or more types of bacteria. With this you may have:
    • Mild vaginal irritation or burning
    • A watery, grayish-white, or yellow vaginal discharge with a fishy odor
  • Pelvic Inflammatory Disease (PID) - an infection of the uterus, fallopian tubes, and/or ovaries. With PID, you have vaginal bleeding with 2 or more of these problems:
    • Abdominal tenderness and/or bloating
    • Pain in the pelvis, lower abdomen, or back. The pain can be severe enough to make you walk bent over and to take small steps.
    • Pain during intercourse
    • The skin on your abdomen feels sensitive.
    • Vaginal discharge with abnormal color or odor
    • Change in menstrual flow
    • Fever, chills
  • Vaginal Yeast Infection - is caused by an overgrowth of the fungus, Candida albicans, normally present in the vagina.
    • Itching, irritation, and redness around the vagina
    • Thick, white vaginal discharge that looks like cottage cheese and may smell like yeast
    • Burning and/or pain with urinating or during sex
  • Vaginitis from Contact with Dermatitis - Reaction to products that irritate the vaginal area, such as detergents, scented items, douches, latex condoms, and tight-fitting clothing. Resulting in itching and redness in the outer genital area without other symptoms.
  • Sexually Transmitted Diseases - See STDs

[Go to Self-Care Prevention]


Still not sure? Ask yourself with these questions.

1. Has a recent sexual assault or major injury to the abdomen, pelvis, or vagina occured?

If yes to one of these symptoms described above, please get immediate care.

If no, continue on to the next question.

2. Do you have vaginal pain that spreads upward to the pelvis and you are unable to walk due to the pain?

If yes to one of these symptoms described above, please get immediate care.

If no, continue on to the next question.

3. Does vaginal irritation and/or pain occur with all the symptoms of a kidney infection?

If yes to one of these symptoms described above, please get immediate care.

If no, continue on to the next question.

4. Do you have very heavy vaginal bleeding ( you saturate more than 1 full size pad or super absorbent tampon in an hour's time) with any of the following problems?

  • Dizziness, feeling faint, or feeling lightheaded when you sit up
  • Pale and moist skin
  • Extreme shortness of breath of a very hard time breathing
  • Severe abdominal pain

If yes to one of these symptoms described above, please get immediate care.

If no, continue on to the next question.

5. Do you have any of the following?

  • Signs and symptoms of pelvic inflamatory disease (PID)
  • Signs and symptoms of bacterial vaginosis
  • Signs and symptoms of a sexually transmitted disease

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question.

6. Do any of the following apply?

  • You have had 3 or more vaginal infections within 3 months time.
  • After diagnosis and 72 hours of treatment for a vaginal infection, your symptoms continue.
  • Vaginal pain occurs during or after sexual intercourse.

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question.

7. Do you have bleeding in the vaginal area from itching due to vaginal irritation?

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question.

8. Do you have vaginal bleeding with any of these problems?

  • Increased vaginal bleeding or you continue to have spotting or bleeding between your periods after 3 months of taking birth control pills.
  • Bleeding heavier than your normal (you are saturating alsmot or equal to 1 full pad or tampon every hour)
  • Nausea, vomiting, or abdominal pain
  • Increasing pain and tenderness in your vaginal area
  • Menstrual periods that are abnormal heavy or long (>10 days)
  • Heavy menstrual periods and passing many small or large blood clots and you are pale and feel very tired.

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question.

9. With vaginal pain, do you use an IUD for birth control and do any of the following conditions apply?

  • The IUD was inserted during the last 4 to 6 weeks.
  • The strings from the IUD cannot be felt.
  • The IUD can be felt through vagina. (An IUD can become embedded in the wall of the uterus. When this happens, surgery is needed to remove the IUD.)

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question.

10. Has a vaginal discharge or irritation been present for longer than 1 week despite using self-care?

If yes to one of these symptoms described above, please see your doctor.

If no to all questions, use self-care prevention.

Self-Care Prevention

For vaginitis from contact dermatitis:

  • Avoid products that cause the problem (scented items, douches, feminine hygiene sprays, etc.). Don't scrub the affected area with a washcloth.
  • Don't wear tight and constricting garments (girdles, tight blue jeans, etc.)
  • Use medicated wipes, such as Tucks, instead of dry toilet paper. Follow package directions.
  • Add an oatmeal bath product (Aveeno) or baking soda to bath water.
  • Apply an over-the-counter 1% hydrocortisone cream to the affected area. Use this infrequently, though. Hydrocortisone can lead to a thinning of the vaginal tissue.
  • Put a cool compress on the affected area.
  • Take a sitz bath every 4 to 6 hours or as needed. A sitz bath basin is a device that fits on the toilet seat and is used to cleanse the genital area. You can buy a sitz bath basin at a medical supply store and at some drug stores.
  • Wash your undewear in a gentle detergent. Rinse it twice. Use only plain water for the second rinse. Don't use fabric softener.

For a vaginal yeast infection:

  • If you have a history of vaginal yeast infections and these current symptoms are