Vaginal itching and discharge - adult and adolescent: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get emergency help for severe abdominal pain with fainting, marked dizziness, shoulder-tip pain, or heavy bleeding, especially if pregnancy is possible.
Fever, rash, vomiting, or dizziness while using a tampon also needs emergency assessment because it can rarely signal a serious illness.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek same-day medical advice if you have:
Fever with lower abdominal or pelvic pain
Worsening pain, vomiting, or feeling significantly unwell
Foul-smelling discharge with a tampon or another object that cannot be removed
Symptoms during pregnancy with bleeding, pain, fever, or possible leaking fluid
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if this is your first episode, the cause is uncertain, symptoms persist or return, or discharge has a new odor, color, or texture.
You should also book an appointment for bleeding after sex, genital sores, pain during sex, or possible exposure to a sexually transmitted infection.
The article also says
Adolescents can ask how privacy works before sharing personal information.
Healthcare professionals should explain any limits to confidentiality.