What should I do if there is intense itching in the external genitalia and vagina after taking medication for chronic pelvic inflammatory disease?

Patient's question:

I went to the hospital for a thorough examination and was diagnosed with chronic pelvic inflammatory disease and adnexitis. There were no other infections detected, but my vaginal cleanliness was rated as level three. I was prescribed Nifuratel vaginal tablets. Initially, I had no symptoms in my vagina or vulva, except for excessive leukorrhea. However, after using the medication, my vulva and vagina became extremely itchy. Logically, I shouldn't have had an allergic reaction, since I was also prescribed an oral medication, which had no side effects when I took a small dose.
Hello doctor, what should I do now? Should I switch medications or continue using the current ones?

Doctor's answer:

Your white discharge test results, except for the cleanliness degree of three, show no mold or trichomoniasis. However, after medication, the itching has worsened, which may be due to drug irritation. Discontinue medication and carefully observe. If necessary, seek gynecological and obstetric examinations at the hospital, change medication for treatment, and pay attention to keeping the vaginal area dry and clean. Wear cotton underwear for better breathability and avoid spicy and irritating foods. Additionally, during the treatment of pelvic inflammatory disease, the patient's dietary condition and care are also crucial. The patient must ensure adequate vitamin intake, prevent stomach issues, and maintain a light diet to avoid unnecessary harm.

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