Patient's question:
Female, 24 years old. Since her last menstrual period, she has been experiencing vaginal itching and abnormal discharge, with some cottage cheese-like discharge. She used a gynecological wash solution, but it had no effect. In the past week, after using the gynecological wash solution, there was no cottage cheese-like discharge, but the discharge now contains blood. Her period is delayed by two days.Doctor's answer:
According to the description, a delayed menstruation by two days and external genital itching are normal, as menstruation can be either one week early or delayed. However, with a history of sexual activity, it is important to first rule out pregnancy. External genital itching and a curd-like discharge are symptoms of candidal vulvovaginitis.Recommendations:
- If menstruation is delayed by two days, wait a few more days to see if it comes. If it does not, check blood HCG to rule out pregnancy.
- For vaginitis, you can use soda solution to rinse the external genital area, place symptomatic medication in the vagina, and avoid spicy foods.
- Pay attention to external genital hygiene, wear pure cotton, loose underwear, and change laundry frequently.
- Avoid cohabitation during medication to prevent cross-infection.