How should vulvar itching be treated effectively?

Patient's question:

I have had vulvar itching for four months. The symptoms fluctuate between severe and mild, with a significant amount of thick, viscous discharge.
Detailed medical history and consultation purpose: What disease do I have? How should it be treated?
Duration and current status of the condition: Four months.
Current general condition: The vulva is red, and it appears to have white granular formations.
Medical history: I have had pelvic inflammatory disease.

Doctor's answer:

1. Pay attention to menstrual hygiene, change menstrual pads frequently during menstruation, and clean them often.
2. Keep the external genital area clean and dry. Avoid washing with hot water or using soap.
3. Avoid using or misusing medications, scratching, or local friction.
4. Avoid alcohol and spicy foods, as well as seafood and other allergenic medications.
5. Do not wear tight undergarments. Underwear should be loose, breathable, and preferably made of cotton.

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