How to deal with unbearable external genital itching?

Patient's question:

Vaginal itching is unbearable, the whole vagina appears red upon careful observation, Baofukang did not work, had mycoplasma infection two years ago, took azithromycin orally

Doctor's answer:

Vaginal itching is a symptom that can be caused by various factors. Local causes include special infections (such as fungal vaginitis, trichomoniasis, pubic lice, scabies, pinworms), chronic vulvar dystrophy, drug allergies or chemical irritation, poor hygiene habits, and skin diseases. It is recommended to conduct a detailed examination and follow medical advice for treatment. Do not self-medicate. For patients with severe vaginal itching, it is advisable to seek medical attention promptly.