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

Hello,

Welcome to icliniq.com.

Your history is suggestive of bacterial infection. And it should also be ruled out. But till then, we can start 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 suggestions:

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

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

3. V-wash (triethanolamine lauryl sulfate and ammonium lauryl sulfate) solution for local application.

Hope this helps.

Kind regards.

Hello,

Welcome back to icliniq.com.

Yes, it is suggestive of bacterial infection. I want to add another medicine to 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 local part hygiene properly. Avoid any sexual activity for at least one month. Take regular medication and follow the suggested medicines. It will surely help you out.

Regards.

Hello,

Welcome back to icliniq.com.

Good. You will improve soon.

Revert in case of queries.

Regards.

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.

Hope this helps.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

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

I suggest you follow these medications:

1. Tablet Atarax (25 mg) BD continues for itching.

2. V-wash solution for local application two to three times a day.

Revert in case of queries.

Regards.

Hello,

Welcome back to icliniq.com.

I am sorry, but you really need longer-duration antibiotics. Is it possible for you to take an injectable antibiotic for a single dose?

I consulted your case with my colleague, and I want to modify the prescription.

1. Tablet Metronidazole (2 g) single dose for 1 day.
2. Tablet Secnidazole (2 g) single dose for 1 day.
3. Tablet Atarax (Hydroxyzine) (25 mg) 1-0-0 continue for itching.
4. V-wash (intimate wash) solution for local application.

Please follow this one with a seven-day duration.

Hope this helps.

Regards.

Hi,

Welcome back to icliniq.com.

Yes, the exact features (attachments are hidden to protect the patient's identity) find, that we discussed here. Do follow up after two days of the new prescription and continue the tablet Atarax and V-wash solution.

Revert in case of queries.

Regards.

Hello.

Welcome back to icliniq.com.

Fine, I understand. Here I will provide you with two alternatives tablet Tinidazole 2 g and tablet Fluconazole 150mg. Both are single doses. You have taken Fluconazole prior, but this time take it along with, Metronidazole or Tinidazole, whichever is available.

Hope this helps.

Regards.

Hi,

Welcome back to icliniq.com.

Yesterday you have taken a single dose, so wait for two to three days. Drugs will do their work within a short period, you will find relief then. Till then, if you have itching., then only take the tablet Atarax, otherwise, stop all medication for two to three days and just apply V-wash lotion over there. How much percentage have you improved from symptoms? Have you got relief or not at all?

Regards.