Patient's question:
Vaginal itching, with a discharge that looks like cottage cheese. This has happened about twice. I previously visited a rural hospital, but they only prescribed a rinse due to pregnancy concerns. However, it hasn’t fully healed, and the itching still persists. Especially in recent months, the itching has been more severe before my period.To prepare for pregnancy, I’ve been taking folic acid for three consecutive months. After starting folic acid, my period was delayed by ten days in the first month, and by about a week in the second and third months. This month, it was delayed by a full twelve days, and it came with menstrual cramps. Previously, I didn’t always experience cramps during my period.
Now that I’m trying to get pregnant, I haven’t been able to conceive, and I’m a bit anxious.
Doctor's answer:
Hello! Based on the symptoms, it appears that the external itching and cottage cheese-like discharge may indicate a fungal vaginal infection. Are you not pregnant? This doesn't affect the treatment, right?! It's better to consult a gynecologist at a formal hospital for diagnosis and treatment.Taking folic acid for preconception is not a recommendation found in any medical guidelines. For folic acid supplementation during pregnancy, it's best to consult a professional doctor.
Irregular menstruation, in my opinion, is more related to your current anxious state of mind. A relaxed mindset is the most important condition for a pregnant woman preparing for pregnancy, far more important than supplementing with any nutrients.