Itching of the vulva with vaginal discharge having an unpleasant odor

Itching of the vulva and abnormal vaginal discharge with an unpleasant odor are usually caused by conditions such as bacterial vaginosis, vulvovaginal candidiasis, or vaginal eczema. The exact cause requires a detailed examination at a hospital for targeted treatment. Specific causes are as follows:

1. Bacterial Vaginosis

This is mostly caused by bacterial infection, often related to poor local hygiene. Symptoms include vaginal pain and increased vaginal discharge. Local inflammation may lead patients to experience a crawling sensation (like ants moving), and it can also affect vaginal discharge, causing abnormalities. Treatment should follow medical advice and may include medications such as metronidazole tablets, tinidazole tablets, or ornidazole tablets.

2. Vulvovaginal Candidiasis

This is caused by Candida infection, leading to symptoms such as vaginal bleeding and pain during contact. It may also produce a foul odor inside the vagina. Abnormal discharge may cause itching. Treatment should follow medical guidance and typically includes antifungal medications such as nystatin tablets, fluconazole capsules, or clotrimazole vaginal tablets.

3. Vaginal Eczema

This usually results from excessively moist or overly dry local environments. Small papules may develop in the vaginal area, causing friction-related pain and even bleeding. Inflammation may also occur, resulting in itching and abnormal vaginal discharge. Treatment is recommended with topical applications such as calamine lotion, pimecrolimus cream, or tacrolimus ointment.

In addition to the above conditions, pelvic inflammatory disease, endometritis, or cervicitis could also be possible causes. It is recommended to take medications such as ciprofloxacin tablets under medical supervision. During treatment, it's important to change underwear regularly. If other abnormal symptoms appear, prompt medical evaluation is necessary.