How to handle severe external genital itching in July and August?

Patient's question:

I am a 35-year-old woman. After using a gynecological wash for two weeks, my condition improved, but I still felt uncomfortable. Therefore, I visited a doctor who prescribed metronidazole wash. However, it caused a burning sensation and, so I stopped using it. Later, I had excessive white discharge and still felt uncomfortable with occasional itching. I visited the doctor again, and a test on my white discharge showed no yeast or trichomonas. The doctor only prescribed sodium bicarbonate to dissolve in water for washing. What is going on? Is this a case of chronic, difficult-to-treat condition? Could it be caused by something else, and should I check my blood sugar to see if it is high?

Doctor's answer:

Your symptoms and medical history suggest the possibility of vaginal inflammation. It is necessary to visit the gynecology department for a follow-up examination and improve relevant tests to confirm whether it is a case of vaginal inflammation. If it is, additional medication needs to be determined based on the nature of your vaginal inflammation. Generally, sexual intercourse is not allowed during medication, and spicy or irritating foods should be avoided. After your next menstrual period, a follow-up test for vaginal discharge routine is required, and treatment needs to be stabilized if necessary.

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