Itchy labia majora with small bumps - what could be the cause?

Patient's question:

12 years old, small bumps on both labia majora with itching, been like this for a month, small red spots can be felt with hands

Doctor's answer:

Hello, this is a condition caused by vaginitis. Further examination is needed to determine if it is due to a fungal infection. A white discharge test can confirm the diagnosis. Treatment generally involves maintaining local dryness and hygiene. Underwear should be loose, breathable, and frequently washed. Avoid scratching to prevent skin breakdown and secondary bacterial infection. After washing with baking soda solution, apply clotrimazole cream for treatment.

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