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Hello Dr. Babu,Thank you so much for taking my question.This is the first time I've had something like this. The ulcer is slightly painful, but more itchy than anything. It seems to be one single ulcer, white in color. It is at the very top of my vulva, where my clitoris is, deep inside the fold. I have had unprotected sex recently with my boyfriend of 14 months. I'm pretty sure I had a yeast infection like 4 days ago and got Monistat 1-day for it and was using the external vulvar cream. That took care of most of the itching, and it seems to have cleared up, but then I just noticed this last night. 4 days ago, it was there. I was diagnosed with HSV-1 two and a half years ago, but haven't had any outbreaks since that initial one, and this is nothing like that one. I also had low-risk HPV (had a colposcopy earlier this year).Thanks again,Lindsey
You have a Vulval candidiasis. With this much severity, just a single dose Monistat is not going to cure it. You have to use the 7 day pack . Better still, you should be using oral antifungal therapy along with it, like a single weekly dose of Diflucan 150 mg for 2 weeks.
Also check your Blood sugar levels: fasting as well as post meal(after 2 hours ). See that your partner is also free from yeast infection.
I would also suggest you do an RPR or VDRL test aslo to rule out syphilitic ulcer beneath the yeast. This is mandatory.
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