What is the reason for the intense itching around the vaginal opening?

Patient's question:

[All symptoms: Itching around the vaginal opening Onset time and cause: About five or six days Treatment status: Used Jiaodu vaginal effervescent tablets for two days, but there's no significant improvement Desired help: Could you please explain what's going on?

Doctor's answer:

1. Trichomoniasis: Women may experience itching in the external genitalia and vagina, itching at the urethral opening, frothy white discharge, and a distinctive odor. Scratching can lead to dermatitis and eczema-like changes in the external genitalia. A vaginal discharge smear test can help differentiate this condition from the others mentioned.
2. Fungal Vaginitis: Women may experience itching in the external genitalia, vagina, and urethral opening, along with redness in the external genitalia. It is often accompanied by cottage cheese-like discharge, odor, and can cause dermatitis and eczema-like changes in the external genitalia after scratching.
3. Drug Allergy: Women with a sensitive constitution may experience itching after taking certain medications, commonly occurring at the junction of the skin and mucosa in the external genitalia. In addition to local itching, it may lead to erosion and discharge. Using medications for vaginal irrigation or insertion can also cause itching in the external genitalia and urethral opening if an allergic reaction or contact dermatitis occurs.
4. Local Skin Hygiene Issues: Some women may use toilet paper improperly, leading to chronic inflammation of the skin in the external genitalia due to exposure to menstrual blood, vaginal discharge, urine, feces, or sweat. This can result in itching in the external genitalia and urethral opening.
It is recommended to visit a gynecological clinic for examination to identify the cause and receive targeted treatment. Pay attention to personal hygiene and change underwear frequently. I hope my response is helpful to you.

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