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How to manage chlamydia with a vaginal itching?

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

Patient's Query

Hello doctor,

During the past summer, I have had one sex partner. Also during this summer, I was told by my doctor that I tested positive for Chlamydia. A day after my doctor's visit, I noticed that on the left part of my upper lip, there seemed to be a rise in the skin. There are no bumps, no burning, or no itching. I have become very stressed about this because as I examined the lips of others, that part of my lip was starting to look strange compared to others.

My partner and I both got our treatment for Chlamydia and waited seven days before having sex again. Now I am experiencing a couple of things that I was not before. My partner is not experiencing anything. I noticed that I was experiencing some itching in my vaginal area (at the top where hair grows). It is not a cluster of bumps, but it is white and very noticeable to the naked eye. I think that it is just public lice but not so sure. Next, I have noticed that I have what felt like two cuts (one on each side) near the bottom of my vaginal area. It does not burn or itch, it is just there. I have experienced some smelly discharge but not a lot. I have not been with anyone else except the same person I had from the summer. Can you tell me if I might have a certain virus or infection? Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I have read your query. Chlamydial infection is the most common sexually transmitted infection worldwide. You had been advised to take antichlamydial treatment for both the partners and you have taken treatment for the same. But the abstinence period is usually two to three weeks after treatment before any sexual intercourse.

Since you are experiencing a mild amount of foul-smelling discharge which is usually present in the chlamydial infection. You are supposed to look to a doctor in your area for the treatment for the specified time and work out on the abstinence period. Viral infection like herpes usually causes painful superficial ulcers over the genital area, and so the little white bumps over your pubic area can be a mere folliculitis.

The Probable causes

Chlamydia trachomatis.

Investigations to be done

None required.

Probable diagnosis

Chlamydia trachomatis infection.

Treatment plan

Antichlamydial treatment like Azithromycin 1 g for five days or Doxycycline 100 mg twice daily for a week will do.

Preventive measures

Sexual abstinence for a minimum period of two to three weeks after treatment is necessary.

Regarding follow up

Review two weeks after treatment.

Medically reviewed byiCliniq medical review team

Published At December 8, 2019
Reviewed AtJanuary 30, 2025

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