Is vulvar itching caused by vaginitis?

Patient's question:

Vaginal itching, after a quick self-examination, I noticed many small holes, resembling bites from trichomoniasis. However, I have tried various treatments, including washing and using medications, but the itching persists. I went to the hospital for a thorough examination of my discharge, and the medications prescribed by the doctor have been used and inserted, but the itching in the vulva still remains. What could be the reason? Sometimes my husband's glans also itches during ejaculation, and he has small holes on his glans as well. Seeking an explanation.

Doctor's answer:

The patient may have vaginitis and should go to the hospital as soon as possible for a routine vaginal discharge test to identify the cause and receive appropriate treatment. It is recommended that the husband participate in the examination and treatment as well, otherwise, if one partner heals on their own and has intercourse again, it may still lead to cross-infection.
In addition, during the treatment for vulvar itching, in addition to timely treatment, the patient's dietary condition and mental state are also particularly important. The patient must always maintain a positive mood and eat a balanced diet to avoid unnecessary interference with the complete recovery of vulvar itching.

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