Vaginal itching and odor, what are the causes

Patient's question:

Vaginal itching and odor for over a year, always fluctuating, routine cervical examination and ultrasound are normal, current TCT result is normal, but HPV16 high-risk positive. Is it still necessary to do colposcopy, biopsy, and pathology? Will it interfere with sexual life?

Doctor's answer:

If the results of the white discharge vaginal ultrasound are normal, it is necessary to consider whether the symptoms of vulvar itching are caused by leukoplakia of the vulva. Leukoplakia of the vulva primarily manifests as localized skin depigmentation, accompanied by significant itching. A local biopsy can be taken to confirm the diagnosis, and a simple biopsy does not interfere with sexual life.
Patients face the distress of vulvar itching, and we should actively carry out thorough examinations and treatments without avoiding medical visits. If the vulvar itching does not improve after prolonged treatment, it is important to promptly adjust the treatment plan.

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