Your symptoms — frequent vaginal + armpit itching (recurrent, responds temporarily to fluconazole, no foul smell/discharge) + recent dull aching anal pain (3 days, no itching/irritation, started severe but gradually improving) + ongoing cough (5 days) — in a woman with type 2
diabetes, hypothyroidism, and PCOD, point strongly to recurrent vulvovaginal candidiasis (yeast infection) worsened by uncontrolled diabetes + possible anal/perianal candidiasis or irritation from chronic moisture/
sugar in stool.
The anal pain is not typical hemorrhoids/fissure (no bleeding, no itching, dull ache, self-improving), but fits yeast-related perianal inflammation or referred pelvic discomfort from vaginal yeast spillover.
The cough (5 days) is most likely a separate viral upper respiratory infection — not directly related, but diabetes + hypothyroidism make you more prone to infections overall.
Next Steps
1. Stop self-medicating fluconazole — repeated use without addressing root cause (
diabetes/PCOD control) causes resistance and recurrence.
2. See a doctor urgently (within 2–3 days max):
• Gynecologist (first choice — for vaginal/anal symptoms)
• Or endocrinologist (if
sugar control is poor)
• Bring: recent
HbA1c, fasting/postprandial sugar,
thyroid reports, list of medicines
3. Likely tests/treatment doctor will do:
• Vaginal swab (wet mount + culture) — to confirm Candida species & rule out bacterial vaginosis/mixed infection
• Perianal swab if pain persists
• HbA1c + fasting/postprandial glucose — to see current diabetes control
• Repeat
TSH + free T4 — hypothyroidism can worsen yeast infections
• Possible stool test if anal pain continues or mucus appears
Health Tips
• For vaginal/armpit itching (until doctor visit):
• Keep area dry — use cotton underwear, change frequently, pat dry after bath/toilet
• Apply plain coconut oil or zinc oxide cream (Sudocrem, Desitin) — soothing & antifungal
• Avoid soaps, talc, synthetic underwear, tight clothes
• For anal discomfort:
• Warm sitz bath (plain warm water in tub) 10–15 min, 2–3 times/day — reduces pain fast
• Apply Anovate / Shield cream (or plain petroleum jelly) after bath/toilet — protects skin
• High-fiber diet + plenty of water — softens stool, reduces strain
• For cough (mild, 5 days):
• Warm water + honey + tulsi/ginger — 3–4 times/day
• Steam inhalation 10 min twice daily
• Avoid cold drinks, AC, dust
•
Diabetes control is key — high
sugar feeds yeast → recurrent infections. Check fasting/postprandial sugar daily; aim fasting