Can urine culture tests and blood sugar levels diagnose ongoing vaginal itching?

Question

Hello doctor,

I am a 26-year-old woman. Four months ago, I experienced vaginal itching and burning. I consulted a doctor and applied Ketoconazole ointment for 10 days, which completely resolved the issue. However, after stopping the ointment for 10 days, the itching returned. When I reapplied the same ointment, it did not work for me. So, I visited my gynecologist again. She prescribed Itraconazole 200 mg for 10 days and Clotrimazole 1% cream. I initially felt some relief, but when I got my period that month, I stopped using the cream for five days. After not using the cream for five days, when I started using it again, I did not experience any relief, and it actually worsened the symptoms. So, I consulted my gynecologist once more. She prescribed some antibiotics and antifungal suppositories to insert into the vagina, and she recommended applying Luliconazole 1% cream. I followed her advice, took the antibiotics, inserted the vaginal suppositories, and applied the cream twice a day for the past week. I also took a Fluconazole tablet. However, I have not experienced any improvement or relief. As I am married and have a baby girl, I am concerned about the possibility of it spreading to my husband and baby. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. Kindly check your fasting and postprandial blood sugar levels. Most importantly, consider your partner's treatment advice for your issue. If possible, please undergo the following tests:

Pap smear of vaginal discharge for microbiology and other conditions such as cervicitis.
Urine routine and culture test.
Thyroid profile.
Hemoglobin (HB) level and peripheral smear study.
Ultrasound of the abdomen and pelvis.

Completing these tests will help narrow down the cause of your problem. Please schedule an appointment with us for further discussion and a better understanding of your condition. We will provide treatment advice and prescribe medications to alleviate the itching and burning sensations.

Thank you.