Vaginal itching with some redness and swelling, vaginal dryness

Patient's question:

Detailed medical condition and consultation purpose: Vulvar itching, some redness and swelling, vaginal dryness
Duration and frequency of the current illness: Over three months, with recurrent episodes
Current general condition: Recurrent episodes
Medical history: Had a miscarriage last year, which may have left behind inflammation afterward. This summer, there was a three-month period of amenorrhea, accompanied by vulvar itching since then.
Previous diagnoses, treatments, and outcomes: Received anti-inflammatory injections and took menstrual regulation medication. Menstruation returned to normal but with reduced flow. Vulvar treatment with suppositories and topical agents, but the condition improved and worsened intermittently.
Additional tests: Yesterday

Doctor's answer:

Hello!
Based on the symptoms you described—vaginal itching, dryness, redness, and swelling—it is possible that you may have vaginitis. It is recommended to visit a gynecological department in the hospital for a vaginal discharge examination to identify the pathogen causing the infection, such as molds, trichomonas, mycoplasma, chlamydia, bacteria, or viruses. Symptomatic treatment should be administered.
1. A history of extramarital sexual activity, especially with multiple sexual partners;
2. A significant increase in vaginal discharge with an odor for no apparent reason within a short period;
3. Exophytic lesions or "flesh spurs" in the vagina or perianal area that develop into cauliflower-like or chicken-pox-like growths;
4. Redness, itching, burning sensation, purulent discharge, and urinary symptoms such as frequent urination, urgency, and dysuria in the urethral meatus;
5. One or more skin or mucosal ulcers in the genital area or perianal region;
6. Swollen, painful, or even ulcerated inguinal lymph nodes;
7. Dark red, painless, and itchy macules appearing on the whole body or palms/soles;
8. Clusters of small blisters appearing in the genital area;
9. Long-term (1-3 months) symptoms such as fever, fatigue, diarrhea, generalized superficial lymphadenopathy, and significant weight loss within a short period.
Anyone with the above symptoms should undergo further examination for a definitive diagnosis.