How to Treat Vaginal and Vulvar Itching

Patient's question:

My vagina and vulva are itchy for years, recurring frequently. I have had two thorough examinations. The first time it was diagnosed as trichomoniasis, and the second time as mixed bacterial infection of degree four. I have taken levofloxacin orally and used suppositories, but none of them have completely resolved the issue. It keeps recurring, and it's very painful.

Doctor's answer:

Vaginitis requires patience during treatment. Do not stop medication just because symptoms improve. Re-examine after 3-7 days of menstruation, and continue this follow-up for three months without any bacteria. Even if it heals on its own.
It is recommended to pay attention to vulvar hygiene, especially before and after sexual intercourse and during menstruation. Wash the vulva with warm water every night and change underwear frequently.
Patients facing vulvar itching and discomfort should actively adopt treatment measures and not avoid seeking medical attention. If vulvar itching does not improve after prolonged treatment, it is necessary to switch to a new treatment plan in a timely manner.

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