How to treat frequent vulvar itching?

Patient's question:

I often have vulvar itching, which is especially itchy, particularly in the groin area. I frequently scratch, and the more I scratch, the itchier it gets, which is very frustrating. Sometimes, when the itching is severe, I apply some triamcinolone acetonide cream or camphor cream, but they only provide temporary relief from swelling and pain. I have also tried using Fuyanjie, but it hasn’t been effective.
My medical history: I am unmarried and have given birth to two children via cesarean section.
The treatments I have tried and their effects: When itchy, I apply triamcinolone acetonide cream or camphor cream, but they only offer temporary relief. I have also used Fuyanjie, but it hasn’t worked.
What kind of help I am seeking: How can I be treated—should I take medication, apply topical creams, or use medicated washes? I want to quickly get rid of this embarrassing problem.

Doctor's answer:

Vaginal itching should first be ruled out as a possible cause of vaginitis, as the common symptoms of vaginitis include vaginal itching, increased vaginal discharge, and other symptoms.
Recommendation: You should have a vaginal discharge test done at the hospital 3-7 days after your menstrual period ends. Based on the test results, it would be better to use medication for treatment.
When patients face vaginal itching, we should actively take treatment measures and not avoid seeking medical attention. If the vaginal itching does not improve after treatment, it is important to promptly adjust the treatment plan.

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