What is the reason for vulvar itching?

Patient's question:

My mother has been experiencing vaginal bleeding recently, far more than usual, similar to menstruation. Sometimes it's very minimal, and other times it's heavy. She went to the hospital for an ultrasound, and there were no issues with her uterus, but they discovered a small 3-centimeter cyst in her pelvis. However, the doctor said it has nothing to do with any tearing. She was prescribed hemostatic medication, but it didn't help. Later, after taking Yunnan Baiyao, the bleeding increased slightly, and then it became even heavier after two days. Now, it has been more than 20 days since the tearing occurred. What should she do?

Doctor's answer:

From the situation you described, your mother's current condition may be caused by menopausal uterine bleeding. Due to the gradual atrophy of the ovaries in women during menopause, they are unable to produce mature follicles, leading to menopause and the loss of the cyclical fluctuation of normal female hormones, which results in irregular vaginal bleeding known as menopausal uterine bleeding.
Treatment should first focus on topical medication for anti-inflammation, followed by oral VK3 tablets and 6-aminocaproic acid. Then, take cephalexin and tinidazole. Finally, perform a medication-induced curettage to promote endometrial shedding, enhancing the effect beyond topical medication.

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