How can the problem of external itching with small bumps be improved?

Patient's question:

I am a 27-year-old woman. There are small white bumps on my vulva, and they are itchy and slightly swollen. I have taken metronidazole, but it has not been effective. I have also used feminine hygiene liquid and clotrimazole suppositories. How can I improve the issue of itchy bumps on the vulva?

Doctor's answer:

You likely have bacterial vaginosis. It is often caused by frequent cleaning leading to dysbiosis. You should stop cleaning your vagina and take oral medications that are suitable for your condition. Vaginal suppositories should be placed inside, and topical creams should be applied to the external genital area for treatment.
Additionally, for gynecological issues, the patient's diet and care during treatment are also crucial. The patient must supplement with vitamins to prevent diarrhea and maintain a light diet to avoid unnecessary harm.

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