Itching of the vulva with white discharge
Itching of the vulva with white discharge may be caused by vaginitis, vulvitis, cervicitis, or other conditions, and treatment should be based on the specific diagnosis. Details are as follows:
1. Vaginitis
If the internal vaginal environment changes significantly—such as a marked reduction in lactobacilli—pathogenic bacteria may proliferate abnormally, leading to increased vaginal discharge accompanied by itching. In such cases, medications such as metronidazole tablets or Lactobacillus vaginal capsules may be used under a doctor's guidance.
2. Vulvitis
The female vulva is susceptible to bacterial infections such as Staphylococcus, Escherichia coli, and Streptococcus. Inflammatory irritation may result in vulvar itching, swelling, and white, sticky discharge. Treatment options include clotrimazole cream or metronidazole-clotrimazole suppositories, used as directed by a physician.
3. Cervicitis
This condition is usually caused by long-term chronic mechanical injury, irritation, or pathogen invasion, resulting in cervical inflammation. Symptoms include increased discharge, vaginal bleeding, and pain. Medications such as azithromycin tablets or penicillin V potassium tablets may be prescribed by a doctor for treatment.
In addition to the above causes, pelvic inflammatory disease, vulvovaginal candidiasis, or adnexitis may also be responsible. It is important to wear loose, comfortable underwear and change it frequently.