How to deal with vulvar itching for many years

Patient's question:

I've had vulvar itching for a long time, and I haven't had much sexual activity. In the past, my hymen might have been torn, and I feel like there are closed-comedones-like bumps on the inside of my labia. Could you please tell me if there are any ways to treat this and what kind of inflammation it might be? Can I still get the HPV vaccine?
What I need help with: Is there any way to relieve the itching? Would it be helpful to wash with boiled garlic? Because I've been too embarrassed to see a doctor, this should not be an HPV infection, right?

Doctor's answer:

Hello, this symptom may indicate vaginitis, such as bacterial vaginitis, fungal vaginitis, trichomoniasis, etc. It is necessary to visit a regular hospital gynecology clinic for a follow-up examination to further check the vaginal discharge routine to confirm which type of vaginitis is appropriate for treatment. Hello, you can also try using Honghe Fugjie Wash to clean the external genitalia. Take metronidazole orally for 7 days. Unmarried women who have been examined can get vaccinated, and pay attention to perineal hygiene and menstrual hygiene, wear pure cotton underwear, change frequently every day, and dry them in the sun after boiling with hot water. Wish you health and beauty!

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