What is the reason for vulvar itching without a fungal infection?

Patient's question:

No sexual activity. External itching. A routine examination of vaginal discharge did not reveal any fungi, trichomonas, or other pathogens. An ultrasound indicated a small amount of fluid in the pelvis. A mycoplasma test also showed no issues. The vaginal discharge is purulent. What is the cause of the itching? Is it cervical inflammation? Or pelvic inflammation? Without sexual activity, it's impossible to examine the cervix and pelvis.

Doctor's answer:

Pelvic effusion is generally considered indicative of pelvic inflammation if it exceeds 1.0. Medication can be used for treatment to see if it improves. Treatment with medication can last for 1-2 weeks. During the treatment period, avoid spicy and irritating foods. You can use a hot salt bag to apply cold compresses to the abdomen to help resolve the inflammation. In fact, having vulvar itching is not something to be afraid of. Patients can overcome the illness themselves. If detected early and treated promptly, the chances of alleviating the condition and recovering are very high.

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