What medicine should I use if my vulva is itchy and painful?
Vulvar itching and pain is a problem that many women may experience and may be caused by infection, allergies, skin diseases, or other factors. To address this problem, choosing the right medication and treatment is crucial. The following is the discussion and solutions on vulvar itching and pain in the hot topics on the Internet in the past 10 days. It is organized into structured data based on medical advice for reference.
1. Analysis of common causes

| Cause type | Typical symptoms | Possible causes |
|---|---|---|
| Fungal infections (such as Candida) | Vulvar redness, swelling, white discharge, severe itching | Decreased immunity and overuse of antibiotics |
| bacterial vaginosis | Gray-white discharge, fishy smell, burning pain | Vaginal flora imbalance |
| Allergy or contact dermatitis | Skin redness, pimples, and stinging | Sanitary napkins, detergents, clothing materials |
| Hormonal changes (such as menopause) | Dryness, itching, painful intercourse | Reduced estrogen levels |
2. Recommend drug treatment plan
| drug type | Representative medicine | Usage and dosage | Things to note |
|---|---|---|---|
| antifungal drugs | Clotrimazole cream, fluconazole oral tablets | For external use 1-2 times a day, orally as directed by your doctor | Pregnant women should use with caution and need to complete the course of treatment |
| antibiotics | Metronidazole suppository, clindamycin ointment | Vaginal administration, once nightly | Avoid drinking alcohol to prevent drug resistance |
| antihistamines | Loratadine, Cetirizine | Take orally once a day | Relieve allergy itching, drowsiness side effects |
| Hormone ointments | hydrocortisone ointment | Short-term external use, 1-2 times a day | Not for long-term use to prevent skin atrophy |
3. Auxiliary care and preventive measures
1.Keep it clean and dry:Wash your vulva daily with warm water and avoid using harsh soaps or lotions.
2.Wear breathable clothing:Choose cotton underwear and avoid tights or synthetic materials.
3.Diet modification:Reduce the intake of spicy and sweet foods, and supplement probiotics (such as yogurt) to maintain the balance of the flora.
4.Avoid scratching:Scratching may aggravate inflammation, but cold compresses can relieve itching.
4. When do you need medical treatment?
| Symptoms | Possible serious problems |
|---|---|
| Fever, pelvic pain | Pelvic inflammatory disease or other infection spreading |
| ulcers or blisters | Herpes virus infection or sexually transmitted disease |
| Recurrent attacks (≥4 times per year) | diabetes or immune system disease |
5. Hot topics of discussion on the entire network
In the past 10 days, the following topics have become more popular on social media and health forums:
Summary:Vulvar itching and pain require targeted medication based on the cause. Over-the-counter medications can be tried for mild symptoms, but if symptoms are recurring or worsening, seek medical attention promptly. With daily care and healthy habits, most conditions can be effectively alleviated.
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