Erythromycin ointment can treat vulvar itching?

Patient's question:

My friend's vulva is itchy and slightly red, but her discharge is normal and has no odor. The topical medication prescribed by the doctor for vulvar cleaning hasn't helped. It's not as itchy during the day when she's at work, but it becomes very itchy when she takes a nap in the afternoon, making it hard for her to sleep at night. I heard that erythromycin ointment can treat vulvar itching—is that true?

Doctor's answer:

The causes of vulvar itching cannot be ruled out in the first place, as they may be related to gynecological inflammation. It could be due to the transmission of bacterial vaginosis, and it is necessary to undergo a routine gynecological examination to determine how the vaginosis is transmitted. If the itching is caused by vaginosis, metronidazole cream is recommended for treatment. If there is no vaginosis, the vulvar itching may be caused by eczema. It is better not to use erythromycin ointment blindly; first diagnose the cause before medication.
In addition to treating vulvar itching, it is recommended to pay attention to diet in daily life and maintain a cheerful mood to enhance physical fitness and speed up recovery.

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