What is the reason for the worsening of vulvar itching at night?

Patient's question:

On the sixth day of the first lunar month, I started experiencing vulvar itching. Bumps resembling grains started appearing on the vulva. The itching became unbearable at night. Additionally, the vagina discharged watery, which felt like it was sticking to the pubic hair.

Doctor's answer:

The medical history is as follows: currently 30 years old, experiencing external itching and vaginal discharge. Based on a comprehensive evaluation of the condition, it is recommended to visit a hospital for examination, including laboratory tests of vaginal discharge, to identify bacterial infections before treatment. There are many treatment methods for external itching, but since the symptoms vary among patients, the treatment approaches also differ. Therefore, it is crucial to diagnose the patient as soon as possible to provide targeted treatment.

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