Hi doctor,
I have been having dryness in my vulva region for some weeks now, and it is red. It does not itch, but it is slightly and inflamed. I have attached the photos. I am currently using Citalopram.
Hello,
Welcome to icliniq.com.
I understand your concern and from your brief history and attached photos (attachment removed to protect patient identity), it looks like vulvovaginal candidiasis (fungal infection). There is no reason to worry as it will subside within two to four weeks.
You can use (if age above 18 and weight above 40kg) tablet Fluconazole 150 mg single dose at night, Miconazole 2% vaginal cream to apply at night for seven days, KZ soap (Ketoconazole soap) for wash twice daily, and tablet Cetirizine 10 mg once in the night for five days if itching persists. Provided there is no prior allergy to these medications. Review after one week.
Also, follow these measures:
1. Keep the area always dry.
2. Use only dry clothes.
3. Wear loose, breathable cotton clothes.
4. Iron your clothes before wearing to kill the fungal molds.
5. Wash the area with lukewarm water.
6. Frequent changing of bed linens and towels.
7. Do not share your personal items.
8. Maintain good genital hygiene.
I hope this helps.
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