Patient's question:
For three days, the vulva has been itchy, sometimes a bit painful, and upon examination, there were some small red spots, not blisters, and normal discharge, almost none. Usually, I wash the external genital area once a day.Doctor's answer:
Vaginal itching often occurs inside the vagina, on the outer side of the labia majora, in the mons pubis, on the clitoris and labia minora, and in the perineum, and 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 often worsens during menstruation or after consuming irritating foods. Vaginal itching is often intermittent, but some cases are persistent, often worsening at night. When severely itchy, it can cause restlessness and difficulty sitting or lying down. Long-term itching can lead to ulcers, redness, swelling, or secondary infections. Due to prolonged scratching, the affected area may become infiltrated, thickened, and hyperpigmented. According to clinical presentation, only secondary skin lesions are present without primary skin damage, making diagnosis straightforward.