Hi,
Burning urination and swelling of vaginal wall with tender to touch. White patches could be candidal vulvo vaginits with
urinary tract infection (UTI). It is simple problem but due to unprotected sex will get other problems like sexual transmitted diseases, STD. First exclude the all STDs by doing following investigations like: VDRL test for Syphilis, HIV 1 and 2 for AIDS, HCV,
Hepatitis B. Chlmydial infections by grams stain KOH test for candidal filaments. Complete urine examination.
Here your present problem according to your complaint could be the above diagnosis. So as follow this treatment. Tablet
Azithromycin 2 times daily for 7 days, plenty of oral fluids. Tablet
Fluconazole stat followed by 150 mfg weekly once for 3 weeks. Tablet Aceclofenac with
Paracetamol till swelling and pain subsides. It will clear the present problem. But screening is very important to avoid further coming problems.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Puvvula Kishore Kumar,
Dermatologist