Patient's question:
Detailed medical condition and consultation purpose:Itchy around the lower private area, must scratch with hands to relieve the itching, scratched so much that it bled, sometimes there are water stains on the edges.
Duration and onset of the condition:
For several months.
Doctor's answer:
Hello, there are many causes of vulvar itching. It is recommended to undergo a physical examination at the hospital. Key treatment points:(1) If the cause is identified, treat the underlying condition.
(2) General care:
1. Maintain vulvar cleanliness and dryness, and change cotton underwear frequently. For those without obvious infection, avoid using various disinfectant solutions. After rinsing the vulva with warm water, apply boric acid oxidant powder.
2. Strictly avoid scratching the affected area to prevent skin breakdown and secondary infection.
3. Pay attention to psychological treatment, stabilize emotions, and administer sedatives such as diazepam if necessary.
(3) Symptomatic treatment:
1. Oral medication: Vitamin A and B; sedatives such as phenobarbital and perphenazine.
2. Topical medication: Use non-irritating warm water or 3% boric acid solution for external washing during acute phases.
3. Herbal oral medication, acupuncture, and moxibustion are also effective for itching. Alternatively, focus on insecticidal and anti-itch treatments, supplemented by herbs that dispel wind, promote diuresis, invigorate blood circulation, and remove blood stasis for steam bathing and sitz baths.
4. Heat therapy, ultraviolet light, or radiation exposure can be effective for stubborn conditions.
5. For persistent cases, subcutaneous injection of 95% alcohol into the affected area may be performed.