What is the appropriate management of vaginal itching?

Question

Hello doctor,

I am a 30-year-old female who recently got married and engaged in unprotected intercourse with my husband two weeks ago. Currently, I am experiencing severe itching in my vagina, and it appears red and inflamed, prompting concerns about a potential sexually transmitted issue. I would like to understand the possibilities of having contracted an infection, how to determine it, and seek advice on alleviating these symptoms. Additionally, I am interested in preventive measures for the future. Kindly provide your guidance on identifying potential infections and managing symptoms, as well as preventive strategies.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Following unprotected intercourse, it is crucial to consider the possibility of a sexually transmitted infection (STI). The recommended tests for further evaluation include:

TPHA (treponema pallidum hemagglutination).
HPV DNA PCR test (human papillomavirus deoxyribonucleic acid polymerase chain reaction test).
Herpes simplex virus (HSV) one and two IgG.
Herpes simplex virus (HSV) one and two IgM.
Chlamydia trachomatis IgG.
HIV one and two antibodies screening test.
HbsAg (hepatitis B surface antigen).
Complete urine analysis.

In the absence of an STI, a simple bacterial infection might be the cause. In such cases, I suggest you use Mupirocin IP 2.0 % w/w ointment for local application, along with Doxycycline (100 mg) twice a day for a duration of five days. If itching persists, a fungal infection should be considered, and treatment may involve applying a cream containing Clotrimazole I.P. 1 % w/w and Beclomethasone Dipropionate I.P. 0.025 % w/w locally. Additionally, for relief from itching, taking one tablet of Cetirizine at night is suggested. Maintaining good hygiene is essential. Ensure you wash your genital area twice a day using normal water, avoiding extremes of temperature. Refrain from using heavily scented or high pH soaps, as they may exacerbate the condition.

I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.