How to deal with vulvar itching at 5 months of pregnancy?

Patient's question:

I am 5 months pregnant now, wearing cotton underwear, and changing and washing them every day, but I still have vulvar itching.

Doctor's answer:

There may be vaginitis. During pregnancy, due to changes in hormone levels, the pH level of the vagina also changes accordingly, making it more prone to vaginal infections, which is known as pregnancy vaginitis. In the early stages of pregnancy, the fetus is in a critical period of organ development and formation. At this time, medication is more likely to have side effects, which could affect the growth and development of the fetus. Therefore, the use of suppositories and oral medications is generally not recommended. If the symptoms of vaginitis are mild, treatment may not be necessary. However, if the itching is severe, it is best to first use some traditional Chinese medicine washes to alleviate the itching symptoms.

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