I have white vaginal discharge with burning sensation during urination. Please help.

Question

Hello doctor,

I am 20 years old and just had unprotected sexual intercourse with someone. This will be the second man I have had intercourse with. The intercourse began about a week ago and I am having burning urination and what seems to be white specs in my vaginal area. I am scared that I might have some kind of sexually transmitted infection. What should I do if I am not covered right now with insurance and cannot afford to see a doctor?

Answer 1

Hello,

Welcome to icliniq.com.

I have seen the picture attached and it indicates that you could have contracted vaginal candidiasis infection from your partner which is a fungal infection (attachment removed to protect patient identity). Ideally, this shall require a course anti-fungal vaginal pessary for six days to be placed intra-vaginally and also oral antibiotics course considering burning micturition which indicates a secondary urinary tract infection. The itching per vaginum and thick curdy vaginal discharge almost confirm the diagnosis, though the gold standard remains growth of fungus on Sabouraud's medium post-high vaginal swab culture evaluation.

If you cannot afford to see a doctor or buy medicines, then the best thing which can be done in the meantime is at least use of alkaline vaginal wash to clean the intra-vaginal area at least thrice a day (V-Wash) to reduce fungal infection and also to increase citrus fruit intake and water to alkalinize the urine and allow natural cleansing of infection, as much as possible. If the symptoms are not relieved in the next 48 hours, then you may require treatment with antibiotics and antifungals.