Q: Dr, how do you manage vulva itching that is not responding to drugs?
A: The vagina is filled with important bacteria which are actually useful and cause no problems. If left well alone. However, some of our activities sometimes alter the delicate balance of bacteria in the vagina causing overgrowth of bacteria. This condition is known as bacteria vaginosis and people with this problem would usually present with a burning sensation in the vagina and a fishy smell apart from itching too. In other instances, there is fungal overgrowth leading to vaginal discharge (cheese-like or egusi-like) and itching.
What can help prevent these?
• Use antibiotics only when prescribed and be sure to finish the entire course.
• Do not use vaginal douches
• Change out of wet clothes eg swim suits as soon as possible
• Avoid the use of perfumed products on your vagina like soaps, sanitary products etc. Use the un-perfumed varieties.
• Wear loose fitting cotton undies 😀
• Stay away from or limit time spent in hot tubs or saunas
• Wipe from the front to the back after using the toilet to prevent depositing bacteria from poop onto the vaginal area leading to urinary tract infection
I suggest you see your gynaecologist as soon as possible so he can take samples of your vaginal discharge and send for laboratory work. This will help determine what organism is causing the infection and then appropriate treatment can be instituted. The preventive measures stated above will help prevent a re-infection.
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Have a good night people 😀