Pregnant month 4, vulvar pruritus with redness and slight swelling

Patient's question:

Medical Description: Developed a rash with redness and swelling 4 months ago.
Treatment history and effectiveness: Recurred after symptomatic treatment.
Help needed: The best treatment method, as well as which medications can and cannot be used.

Doctor's answer:

During your pregnancy, if you have symptoms of vulvar itching and redness/swelling, it is likely caused by vaginitis.
Recommendations:
First, it is recommended to undergo a gynecological examination and have a routine vaginal discharge test to confirm whether vaginitis is present and identify its specific type. Based on the test results, appropriate medication can be selected for treatment. For example, if it is candidal (yeast) vaginitis, antifungal medication should be used. If it is trichomoniasis, antitrichomonal medication should be administered. Generally, medications with minimal impact on the pregnancy are chosen for treatment.

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