Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Could you please tell me what the symptoms of simple vulvitis are?Doctor's answer:
Clinical manifestations. In the acute phase, the external genitalia show swelling, congestion, and disorder, sometimes forming ulcers or extensive eczema. Patients experience burning, itching, or pain in the external genital area, particularly during urination. In severe cases, inguinal lymph nodes may become enlarged and tender, with a slight drop in body temperature and an increase in white blood cells. In diabetic vulvitis, the external genital skin becomes red, thickened, and often brown, with scratch marks. Due to the presence of urinary sugar, which promotes the growth and adaptation of molds, it is common for secondary infections with Candida albicans to occur. In chronic inflammation, the external genital area itches and may develop into lichenification. Diagnosis. A detailed medical history should be taken, including the amount and characteristics of secretions, and whether any special factors are present. For elderly patients, attention should be paid to a history of diabetes; for younger patients, attention should be paid to the presence of pinworms. It is important to understand the patient's hygiene habits.