How can vulvitis be treated to get better?

Patient's question:

I went through menopause two years ago, but recently I've been experiencing intense itching in my external genitalia and around the vaginal opening, and the discharge also has a strong odor. Could you please advise on how to treat vulvitis to improve the condition?

Doctor's answer:

The causes of vaginitis are due to the transmission of pathogens, and different pathogens may present with different symptoms. The symptoms of trichomoniasis vaginitis are primarily thin, foamy white discharge, an increasing amount of vaginal discharge, and external genital itching. It may also be accompanied by a burning sensation, pain, and dyspareunia. If accompanied by urethritis, there may be urinary frequency, urgency, dysuria, or hematuria. The symptoms of candidal infection mainly include external genital itching, with a significant amount of white, curd-like vaginal discharge being the primary symptom. It may also be accompanied by a burning sensation in the external genitalia, urinary urgency, dysuria, and dyspareunia. When symptoms are severe, the patient may be restless and in extreme pain. It is recommended that you visit a formal hospital for a detailed examination and then take medication and care according to the doctor's advice.

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