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Vaginal Problems


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Check Your Symptoms

If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.

Review health risks that may increase the seriousness of your symptoms.

If you have any of the following symptoms, evaluate those symptoms first.

Note:

If you plan to see a doctor, do not douche, use vaginal creams or suppositories, or have sex for 48 hours before your appointment.

Yes

Do you have pelvic or lower abdominal pain with other symptoms?

See significance of pelvic or lower abdominal pain if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Note:

If you need information on how to take a temperature, see the topic Body Temperature.

Call your health professional immediately if you answer "Yes" to any of the following questions.

YES

Do you have severe pain?

YES

Do you have a fever of 102 ° F (39 ° C) or higher?

YES

Do you think that you have a moderate to high fever but you are unable to measure your temperature?

Call your health professional today if you answer "Yes" to any of the following questions.

YES

Do you have moderate pain and a fever of less than 102 ° F (39 ° C)?

YES

Do you have moderate pain and think you have a mild to moderate fever, but you are unable to measure your temperature?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.

YES

Have you had mild pain or cramping without a fever for 24 hours or longer?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you think your vaginal symptoms may be caused by sexual abuse?

See significance of vaginal symptoms that may be caused by sexual abuse if you need information to help you answer the question below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional immediately if you answer "Yes" to the following question.

YES

Do you think your vaginal symptoms may be caused by sexual abuse?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you have a rash, sore, blister, or lump in your vaginal area?

See significance of a rash, sore, blister, or lump in your vaginal area if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Note:

If you think your rash, sore, blister, or lump may be caused by a sexually transmitted disease, do not have sex while waiting for your appointment. This will reduce the possible spread of infection to your partner. For more information, see the topic Exposure to Sexually Transmitted Diseases.

Call your health professional immediately if you answer "Yes" to the following question.

YES

Do you have severe pain?

Call your health professional today if you answer "Yes" to any of the following questions.

YES

Do you have new sores or blisters in the vaginal area?

YES

Do you have moderate pain?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to any of the following questions.

YES

Have you had a rash that is causing mild pain for 48 hours or longer?

YES

Have you had areas of raw or irritated skin larger than 1 in. (2.5 cm) across for 3 days or longer?

YES

Have you had a lump in your vaginal area for 48 hours or longer?

You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.

YES

Do you have a wartlike rash in your vaginal area?

YES

Have you had a rash in the vaginal area that has not gone away after 1 week?

YES

Is there a red, patchy rash in the vaginal area with greasy silvery or yellow crusts, and is the rash also present on other parts of the body?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you have vaginal itching or a change in your vaginal discharge?

See significance of vaginal itching or a change in your vaginal discharge if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Note:

If you have symptoms of a vaginal yeast infection and have been diagnosed and treated by your doctor for this condition in the past, you may want to think about using a nonprescription medicine, such as miconazole (for example, Monistat) or clotrimazole (for example, Gyne-Lotrimin), to treat your symptoms. It is important to remember to contact your doctor if you are pregnant or if your symptoms do not improve with home treatment in 2 or 3 days. Do not use a nonprescription medicine to treat symptoms of a yeast infection if you are or may be pregnant. For more information, see the topic Pregnancy-Related Problems.

Call your health professional immediately if you answer "Yes" to any of the following questions.

YES

Do you have a fever of 101 ° F (38.3 ° C) or higher?

YES

Do you think you have a high fever but you are unable to take your temperature?

YES

Do you have severe pain?

Call your health professional today if you answer "Yes" to any of the following questions.

YES

Do you have mild to moderate pain?

YES

Do you have a fever of less than 101 ° F (38.3 ° C)?

YES

Do you think you have a fever but you are unable to take your temperature?

YES

Do you have moderate to severe vaginal itching?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to any of the following questions.

YES

Have you had a bad-smelling vaginal discharge for 1 week or longer?

YES

Have you had mild vaginal itching for 1 week or longer?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you think you have a vaginal infection?

See significance of symptoms of a vaginal infection if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional today if you answer "Yes" to any of the following questions.

YES

Do you have moderate pain?

YES

Do you have a fever of less than 101 ° F (38.3 ° C)?

YES

Do you think you have a fever but you are unable to take your temperature?

YES

Do you have mild or cramping pain and a change in your vaginal discharge?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to any of the following questions.

YES

Have you had an unusual vaginal discharge for 1 week or longer?

YES

Have you had pain during sex for 1 week or longer?

YES

Have you had pain when you urinate for 1 week or longer?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you think your vaginal symptoms may be caused by a medicine?

See significance of vaginal symptoms caused by a medicine if you need information to help you answer the question below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional today if you answer "Yes" to the following question.

YES

Do you think your vaginal symptoms may be caused by a medicine?

Note: If you answered "Yes":

  • Call the doctor who prescribed the medicine. He or she can determine whether you should stop taking it or take a different one. An appointment may not be necessary.
  • If you are taking a nonprescription medicine, stop taking it. Call your doctor if you feel you need to continue taking the medicine.

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you feel a bulging into your vagina or increased pelvic pressure with movement?

See significance of bulging into vagina or increased pelvic pressure if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional today if you answer "Yes" to the following question.

YES

Do you have low back or pelvic area pain or pressure that is interfering with your daily activities?

You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.

YES

Do you feel a bulging into your vagina or outside your vaginal area?

YES

Have you had a change in your bowel habits?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you have pain or bleeding with sex?

See significance of pain or bleeding with sex if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Note:

If you have bleeding with sex and you are pregnant or menopausal, go to the topic Abnormal Vaginal Bleeding.

Call your health professional today if you answer "Yes" to any of the following questions.

YES

Have you had moderate pain with sex?

YES

Have you had moderate vaginal bleeding with sex?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.

YES

Have you had mild bleeding or spotting with sex for 1 week or longer?

Note:

These symptoms could indicate a sexually transmitted disease. Do not have sex until you see your doctor. This will reduce the risk of spreading a possible infection to your partner. Your partner or partners may need to be treated as well.

You need an appointment within the next 1 to 2 weeks if you answer "Yes" to the following question.

YES

Do you have mild pain with sex?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Are you unable to remove an object from your vagina?

See significance of removing an object from the vagina if you need information to help you answer the question below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional today if you answer "Yes" to the following question.

YES

Are you unable to remove an object from your vagina?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Yes

Do you have vaginal symptoms that have not improved with treatment?

See significance of vaginal symptoms not improving if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional today if you answer "Yes" to the following question.

YES

Have your vaginal symptoms gotten worse after using treatment recommended by your doctor?

You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to any of the following questions.

YES

Do you have vaginal symptoms that have not improved after using treatment recommended by your doctor for 24 hours?

YES

Have your vaginal symptoms gotten worse after using home treatment for 24 hours?

YES

Do you have vaginal symptoms that have not improved after using home treatment for 2 to 3 days?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Other Symptoms to Watch For

Do you have any of the following symptoms?

If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.



Last Updated: November 3, 2007
Author:
Jan Nissl, RN, BS
Medical Review:
Anne C. Poinier, MD - Internal Medicine

Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology


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