How is vulvitis treated better?

Patient's question:

I am a 26-year-old female. Recently, when washing my underwear, I have been finding a lot of curd-like discharge on them, and it smells very bad. I also feel that my private area is always damp and itchy, and my lower abdomen is uncomfortable. Could you please tell me: How is vulvitis best treated?

Doctor's answer:

Dietary therapy and medication therapy can be adopted. In medication therapy:
1. Non-specific vaginitis: The treatment principle is based on correcting the vaginal pH and locally applying antibiotics.
2. Candidal vaginitis: Relevant triggers, such as diabetes, should be treated, and broad-spectrum antibiotics or hormones should be discontinued promptly.
3. Trichomonal vaginitis: There are two methods—systemic medication and local medication.
Pay attention to personal hygiene, maintain clean and dry external genitalia, and change underwear frequently. External genitalia items should be used exclusively by one person. Wash used underwear, towels, and basins with boiling water. When visiting public places such as public restrooms, swimming pools, and bathtubs, take precautions to prevent cross-infection.

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