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Suggest Treatment For Severe Vaginal Itching
Question: Hello, I am a 52 yo female that has not had a menstrual cycle in 1 year and 5 months. I am diabetic and have been taking Farxiga and it is causing me to have terrible itching in my vaginal area. Also my sugar levels have been higher than usual. I am very irritated from the itching with toilet tissue and this morning, I noticed that I was bleeding from my vagina but not heavily. Prior to this, I have had no issues of bleeding or spotting at all until the diabetes and start of the Farxiga. I am concerned because, I am a year and a half since my last period. I am not bleeding as to where I have to wear a pad or tampon but the blood is present. I also have been taking medication for a under active thyroid for about about 6 months straight now. Any advice would be appreciated.
Brief Answer:
Yeast infection and vaginal atrophy likely- pap smear and ultrasound needed
Detailed Answer:
Hello,
Thank you for asking at HCM.
I carefully read your question and understand your concern.
Vaginal ithcyness can cause bleeding also due to local trauma and also bleeding can happen independantly from the itchyness.
There are several causes of the vaginal itchyness you are feeling. A common cause of vaginal itchyness in patients with diabetes is yeast infection (candida infection). This would also cause some white thick secretions. The treatment for it would be vaginal pills with clotrimazole at night for a few nights.
Another cause of vaginal itchyness in a woman in menopause would be vaginal atrophy and sometimes takin local estrogen intravaginally might help with the symptoms and till you find some estrogen having some vaginal lubricant might bring some release.
Normally vaginal bleeding after menopause demands evaluation with vaginal ultrasound to check for the thickness of the uterine inner layer and also a pap smear should be done if you have not had one in 3 years.
So to conclude you will need:
1. a vaginal ultrasound and vaginal sexamination to visualize the source of the bleeding
2. Have a pap smear if have not had it in the last 3 years
3. if the above tests are normal try a treatment with vaginal clotrimazole for a few days or one single oral dose of fluconazole 150 mg.
4. Trying vaginal lubricants and local estrogen application might help with vaginal attrophy and improve symptoms.
5. Avoid vaginal douching and do not use detergents or parfumed things for the local hygiene in the intimate area to prevent allergic reactions.
I hope this is helpful and answers to your question.
I wish you quick improvement
Kind regards
Dr Antoneta Zotaj
Yeast infection and vaginal atrophy likely- pap smear and ultrasound needed
Detailed Answer:
Hello,
Thank you for asking at HCM.
I carefully read your question and understand your concern.
Vaginal ithcyness can cause bleeding also due to local trauma and also bleeding can happen independantly from the itchyness.
There are several causes of the vaginal itchyness you are feeling. A common cause of vaginal itchyness in patients with diabetes is yeast infection (candida infection). This would also cause some white thick secretions. The treatment for it would be vaginal pills with clotrimazole at night for a few nights.
Another cause of vaginal itchyness in a woman in menopause would be vaginal atrophy and sometimes takin local estrogen intravaginally might help with the symptoms and till you find some estrogen having some vaginal lubricant might bring some release.
Normally vaginal bleeding after menopause demands evaluation with vaginal ultrasound to check for the thickness of the uterine inner layer and also a pap smear should be done if you have not had one in 3 years.
So to conclude you will need:
1. a vaginal ultrasound and vaginal sexamination to visualize the source of the bleeding
2. Have a pap smear if have not had it in the last 3 years
3. if the above tests are normal try a treatment with vaginal clotrimazole for a few days or one single oral dose of fluconazole 150 mg.
4. Trying vaginal lubricants and local estrogen application might help with vaginal attrophy and improve symptoms.
5. Avoid vaginal douching and do not use detergents or parfumed things for the local hygiene in the intimate area to prevent allergic reactions.
I hope this is helpful and answers to your question.
I wish you quick improvement
Kind regards
Dr Antoneta Zotaj
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you, I just have to clarify. Yeast infections can cause vaginal bleeding independent from local skin trauma itching irritation? Thank you.
Brief Answer:
Yeast infection do not cause bleeding independantly
Detailed Answer:
Hello,
Thank you for the follow up question.
Yeast infection can cause itchiness and mild local trama might happen and might cause mild bleeding.
Yeast infection does not generally cause bleeding in itself unless due to local trauma.
Hope this is helpful, if more clarifications needed please let me know.
Kind Regards
Dr Antoneta
Yeast infection do not cause bleeding independantly
Detailed Answer:
Hello,
Thank you for the follow up question.
Yeast infection can cause itchiness and mild local trama might happen and might cause mild bleeding.
Yeast infection does not generally cause bleeding in itself unless due to local trauma.
Hope this is helpful, if more clarifications needed please let me know.
Kind Regards
Dr Antoneta
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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