I have developed white patches on the skin of my genital area, which are occasionally itchy. Clotrimazole cream has been ineffective. What should I do?
Disease description:
Over the past few months, I have noticed white patches appearing on the skin of my genital area, accompanied at times by mild itching. Initially, I tried treating it with clotrimazole cream, but the results were not obvious, and the patches remained, with occasional itching persisting. This has caused me considerable concern, and I am unsure what this condition might be or how to address it.
Doctor's answer (1)
Dr. Zhang Lu
Condition Analysis: The appearance of white patches on the skin of the genital area accompanied by itching may be caused by conditions such as vulvar leukoplakia, vulvitis, vaginitis, skin eczema, or skin allergy. Clotrimazole cream is a commonly used antifungal medication. If symptoms do not improve after using this medication, it may indicate that the condition is not caused by common fungal infections or that a more potent treatment regimen is required.
Recommendations: It is recommended that the patient seek timely medical consultation for gynecological examination, skin fungal microscopy, routine vaginal discharge tests, and other examinations to determine the exact cause. After a diagnosis is confirmed, the physician will prescribe an appropriate treatment plan according to the specific condition, which may include topical medications, oral medications, or other treatment methods. The patient is advised to maintain good作息 habits (sleep patterns), avoid staying up late, and reduce physical stress. A bland diet is recommended to avoid spicy or irritating foods that may worsen itching symptoms. Additionally, maintaining personal hygiene, avoiding washing with excessively hot water, wearing breathable clothing, and preventing friction and irritation can also help alleviate symptoms.
