Conversation: The conversation between human and AI assistant.
[|Human|] I am female, 20 years old, single and never had any sexual contact with anyone. But I feel worried because my genital area is now reddish. It started when I had my menstruation last week. I thought it was just a rash caused by my sanitary pads (because I had them before and it went away after my period) but now it didn t. I noticed that my butt cheeks also have this redness and scaly-like skin texture. I also had this thick and white discharge. I m afraid to go to a gynecologist and very much afraid to know that I have a disease. Please help me to treat this because sooner or later I m going to have a medical/laboratory examination for a job. Thank you very much.
[|AI|]  Hi, You seem to have a fungal infection. Moisture from occlusion, warmth and humid weather favor the growth of the fungus. In addition, you seem to have a candida vaginitis which is responsible for the thick vaginal discharge. I suggest you take an oral antifungal e.g. tablet Fluconazole or Itraconazole for 2- 4 week. This would take care of both cutaneous and vaginal fungal infection. In addition, I suggest you apply an OTC topical antifungal e.g. Clotrimazole 1% cream or Ketoconazole 2% cream, for the skin involvement. Twice daily for 2-4 weeks. You may as well keep a Clotrimazole pessary in the vaginal canal every night for a few days. Since fungal infection and candida vaginitis are usually itchy therefore I suggest you to also take an OTC antihistamine e.g. Tab Cetirizine for relief from itching. Hope I have answered your query. Let me know if you need any more assistance.