Gynecologist answering online

Patient's question:

Now I have vulvar eczema during my period, the skin is cracked, and the vaginal opening is itchy. There is an increase in discharge, which has changed from white to yellow, but there is no odor. This has been going on for 3 days. Two years ago, I had mild cervical erosion, but it has already been treated.

Doctor's answer:

(1) Oral metronidazole, a drug for killing trichomonads, 200 mg each time, three times daily, for a total of 7 days. After taking the medication, test for trichomonads. If the result is negative, continue treatment with one course after the next menstrual period to consolidate the therapeutic effect.
(2) Simultaneous local treatment, such as rinsing the vagina with a 0.5%–1% lactic acid or acetic acid solution, or a 1:5000 potassium permanganate solution, once daily.

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