How to deal with vulvitis and urethritis

Patient's question:

Health consultation description: There is vulvitis and urethritis. Previously, the menstrual cycle was irregular, and after the period ended, brown discharge continued for several days. Moreover, there was often pain at the urethral opening after the period ended. Upon examination, it was found to be a virgin, so only an abdominal ultrasound was performed. Previously, a vaginal discharge test was conducted, which showed no problems. Small bumps were found at the vaginal opening, which were said to be caused by vulvitis. The doctor diagnosed menstrual irregularity and prescribed progesterone, as the period had just ended. I took it for three times. Because I had to leave the house, I didn't take it anymore. On the fourth day after returning, there was some pain at the urethral opening, with water and a lot of brown discharge. It was very uncomfortable every time it came out. Then on the fifth day, I noticed vaginal bleeding, as if the period had come again, but I hadn't taken progesterone these days.

Doctor's answer:

According to the patient's description, the skin peeling is considered to be caused by the withdrawal of the endometrium due to the discontinuation of progesterone. It is recommended to maintain cleanliness of the external genitalia and adjust the menstrual cycle to take medication on a regular basis. This is a phenomenon where menstruation occurs after taking medication, so pay close attention to the hygiene of the vagina. There is absolutely no problem with this, so carefully observe the timing of the skin peeling. The patient should pay attention to personal hygiene during daily life.

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