Patient's question:
My wife has been experiencing intense itching in her private area for the past two days, and it even hurts when she scratches it. It's very swollen (the labia are twice the normal size) with a small amount of white discharge. What could this be and how should it be treated?!! Urgent help needed!Doctor's answer:
Vaginitis is clinically characterized by changes in the quality of vaginal discharge, external genital itching, burning pain, and a bad odor. Pain during intercourse is also common. When the infection affects the urethra, symptoms such as dysuria and urinary urgency may occur. Common types of vaginitis include bacterial vaginosis, trichomoniasis, candidiasis, and atrophic vaginitis. Vaginal discharge culture tests help identify the specific pathogen, providing doctors with accurate diagnostic information. Treatment typically involves antibiotics targeting the cause, along with the use of topical suppositories and washes. Active treatment can eliminate predisposing factors. Keeping the external genitalia clean and dry, avoiding scratching, and refraining from consuming spicy and irritating foods are highly effective. It is recommended to change underwear frequently and wash it with warm water, ensuring it is not mixed with other clothes to prevent cross-infection.