Itching down there, with clumpy discharge that smells bad.
May 31, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
The following refers to the vulva. Itching of the vulva accompanied by curd-like, foul-smelling discharge may be related to factors such as bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis. Treatment can include topical medications or oral drugs. In addition to these relatively common causes, conditions such as cervicitis and pelvic inflammatory disease may also be involved; therefore, it is important to seek timely medical evaluation at a hospital for appropriate diagnostic tests.
The vulva refers to the external genitalia. Itching of the vulva accompanied by curd-like, foul-smelling discharge may be associated with bacterial vaginosis, trichomoniasis, vulvovaginal candidiasis, and other factors. Treatment options include topical medications, oral medications, etc. Specific analyses are as follows:
1. Bacterial Vaginosis
If local hygiene is neglected, it may lead to infection by Staphylococcus aureus. The bacteria can irritate the vagina, resulting in bacterial vaginosis. Clinically, this condition presents symptoms such as increased vaginal discharge, unpleasant odor, and itching. Under a doctor's guidance, medications such as metronidazole tablets or tinidazole tablets may be used for treatment.
2. Trichomoniasis (Trichomonal Vaginitis)
Having multiple sexual partners may lead to cross-infection by Trichomonas vaginalis, which irritates the vagina and causes trichomoniasis. Clinical symptoms include frequent urination, increased vaginal discharge, and vulvar itching. Under medical supervision, treatments may include metronidazole suppositories, ornidazole vaginal suppositories, and similar medications.
3. Vulvovaginal Candidiasis
If personal hygiene is not properly maintained in daily life, it may result in fungal (mold) infection. Fungi can irritate the vagina, leading to inflammatory infection. Common clinical manifestations include increased vaginal discharge, burning pain, and itching. Under a doctor’s guidance, antifungal medications such as fluconazole capsules or nystatin tablets may be prescribed for treatment.
In addition to the above relatively common causes, conditions such as cervicitis and pelvic inflammatory disease may also be responsible. Patients should promptly visit a hospital for appropriate examinations and follow medical advice for proper treatment.
