How to treat external itching in pregnant women

Patient's question:

Doctor:
Hello!
I am 17 weeks pregnant. The past two days, I have experienced itching in the external genital area. I was afraid to take medication and only soaked my underwear in boiling water and rinsed the external genital area with clean water. However, after three days, the condition has not improved, though it has not worsened either.
I would like to ask if it is possible to use a liquid cleanser, which medicine can be used, and what should I do?

Doctor's answer:

For pregnant women, vulvar itching is a symptom caused by multiple factors, often resulting from the stimulation of the vulvar area by a large amount of abnormal vaginal discharge due to trichomoniasis or fungal infections leading to vaginitis. Alternatively, wearing synthetic underwear daily can keep the vulvar area in a consistently moist and warm environment, frequently causing itching. For pregnant women, conservative treatment should be adopted without affecting pregnancy. Options include regularly cleaning the vulvar area with a feminine hygiene product, changing underwear frequently, and maintaining a light diet with reduced consumption of greasy foods.

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