Patient's question:
Doctor, I had vulvar itching earlier, and then a pimple-like thing grew. I often pulled at it, which made it break open and some pus came out. Then the pimple basically healed, and the vulvar itching almost stopped. But now, cottage cheese-like discharge has appeared again. Should I go for further examination and treatment, or can I just treat it as a fungal vaginal infection? I've had my period for the past two days. Will it help alleviate the infection? (Female, 20 years old)Doctor's answer:
Considering candidal vulvovaginitis, local medication insertion is not possible during the menstrual period. Oral antifungal medications can be used for treatment. You can take fluconazole or itraconazole orally for antifungal therapy, and then use local medication insertion after the menstrual period to focus on treatment. Maintain a light diet and drink plenty of warm water. Regular follow-up tests are recommended.For patients with vulvar itching, daily treatment primarily involves oral medications. The patient can take some oral medications, supplemented with vitamins, while also paying attention to self-care, proper diet, and avoiding cold foods. We hope that vulvar itching patients can recover as soon as possible! Thank you!