Patient's question:
Detailed medical condition and consultation purpose: Itching in the external genital area began during the menstrual period. What should I do?Duration and onset of this illness: About four or five days
Medical history: None
Doctor's answer:
Hello: Immune function is very low during menstruation, so hygiene should be paid more attention.Vaginal itching is a symptom that can be caused by various reasons. Local causes include special infections (such as candidal vaginitis, trichomoniasis, pubic lice, scabies, pinworms), chronic vulvar dystrophy, drug allergies or chemical irritation, poor hygiene habits, and skin diseases. Patients with chronic conditions such as diabetes, jaundice, leukemia, vitamin A deficiency, and vitamin B deficiency also often experience vaginal itching. In some cases, there are no obvious local or systemic causes, which may be related to psychological or mental factors. Patients with this condition should identify the underlying cause and treat accordingly.
[Prescription]
1. Pay attention to menstrual hygiene, change menstrual pads frequently during menstruation, and clean them regularly.
2. Keep the vulva clean and dry. Avoid washing with hot water or soapy water.
3. Avoid using or misusing drugs, scratching, or local friction.
4. Avoid alcohol and spicy foods. Do not eat seafood or drugs that may cause allergies.
5. Do not wear tight underpants. Underwear should be loose, breathable, and preferably made of cotton.
6. If there is local damage or infection, you can soak with a 1:5000 potassium permanganate solution (add a small amount of potassium permanganate powder to warm water until it turns light red, but do not make it too concentrated). Soak for 20–30 minutes twice a day.
7. Seek medical attention to check for candidiasis or trichomoniasis. If present, treat promptly rather than using over-the-counter "itch relief" solutions.
8. If the condition does not improve after prolonged treatment, have a blood sugar test.