Patient's question:
Menstruation has been advanced by a week. Have you ever had this medical record before? I don't know how to solve it. In the past few days, there has been some itching in the lower abdomen and a little blood, but it's not yet the menstrual period. What should I do.Doctor's answer:
The symptoms of vulvar pruritus often recur in the vagina, the outer labia majora, the mons pubis, the clitoris, and the inner labia minora, with a sensation of itching in the perineum that can spread to the area near the anus. It is a type of localized pruritus. It is often extremely itchy and tends to be worse at night. It frequently worsens during the menstrual period or after consuming irritating foods. Vulvar itching is often intermittent, but some cases are persistent, often worsening at night. When severely itchy, it can cause restlessness and discomfort while sitting or lying down. Long-term itching can lead to ulcers, redness, swelling, or secondary infections. Due to chronic scratching, the affected area may become macerated, thickened, and hyperpigmented. According to clinical diagnosis, only secondary skin lesions are present without primary skin damage, making the diagnosis relatively easy. The daily treatment for patients with vulvar itching is primarily symptomatic.