Q. I am suffering from severe itching, redness, and inflammation of vulva for past 60 days. Kindly help.

Answered by
Dr. Harshul Gohel
and medically reviewed by Dr. Nithila A
Published on Jul 23, 2019 and last reviewed on: Jul 29, 2019

Hello doctor,

I am suffering from infection in vulva for the last 60 days. Having severe itching, redness, and inflammation on superficial skin like urticaria or hives, but I am not sure what type of infection I have. My doctor said that this is a fungal infection and gave me tablet Fluconazole 150 mg, capsule Becelac Pb for 15 days but symptoms not subsided. This medication should be repeated for the next seven days, but there is no relief. So after that, I take homeopathy treatment lasts five days homeopathy doctor said to me this is urticaria. But I am not satisfied with any treatment please help me.

Dr. Harshul Gohel

Family Physician
#

Hello,

Welcome to icliniq.com.

Your history is suggestive of bacterial infection. And it should be also ruled out. But till then we can start a prophylaxis therapy. It is also to be evaluated for your sexual habits and any recent or past infection of your male partner. If possible follow-up with complete history, till then follow my advice.


Treatment plan:

1. Tablet Azithromycin 500 mg once a day for three days in an empty stomach.

2. Tablet Ceftas 200 mg 1-0-1 for five days after the meal.

3. V-wash solution for local application.

Thank you doctor,

I have sent the pictures of my affected parts please see than suggest the best treatment. Please help.

Dr. Harshul Gohel

Family Physician
#

Hello,

Welcome back to icliniq.com.

Yes, it is suggestive of bacterial infection. I want to add another one medicine in your treatment. Follow this

1. Tablet Azithromycin 500 mg once a day for three days (empty stomach).

2. Tablet Ceftas 200 mg (Cefixime) 1-0-1 for five days (after meal).

3. Tablet Atarax 25 mg (Hydroxyzine) 1-0-0 continue for itching.

4. V-wash solution for local application.

Maintain loacl part hygiene properly. Avoid any sexual activity for at least one month. Take regular medication and follow the advice as given. It will surely help you out.


Thank you doctor,

There was no sexual interactions.

Dr. Harshul Gohel

Family Physician
#

Hello,

Welcome back to icliniq.com.

Good. You will improve soon.


Hi doctor,

Does 1-0-1 and 1-0-0 mean BD and OD respectively? If itching persists, then can I take Atarax 25 mg BD?

Dr. Harshul Gohel

Family Physician
#

Hello,

Welcome back to icliniq.com.

Yes, 1-0-1 means BD twice a day and 1-0-0 means OD once a day. Yes, if itching persists, then you can tablet Atarax (Hydroxyzine) 25 mg BD.


Regarding follow up:

do follow up after 5 days with this continue medicines.

Hello doctor,

I am sending image of my affected parts. Please see and advice me the treatment. The symptoms are improved but sometimes I feel itching in vulva only and not vagina. I inform to you that these symptoms are started 7 to 10 days before my period.

Dr. Harshul Gohel

Family Physician
#

Hello,

Welcome back to icliniq.com.

You have got much improvement. But as the period comes, some physiological changes occur in genital tract and it is causing itching. So, continue my last prescription for another 10 days. It will completely resolve your symptoms. Have you ever been sexually exposed?


Treatment plan:

1. Tablet Atarax (25 mg) BD continue for itching.
2. V-wash solution for local application 2-3 times a day

Regarding follow up:

Do follow up as you improve or not.

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