What's going on with vulvar itching and leucorrhea that looks like tofu?

Vulvar itching accompanied by tofu-like leucorrhea may be caused by vulvovaginal candidiasis, bacterial vaginosis, trichomonas vaginitis, allergic contact dermatitis, diabetes and other factors, and can be relieved by antifungal treatment, antibiotic treatment, local care and other methods. It is recommended to seek medical treatment promptly to determine the cause.

1. Vulvovaginal candidiasis

Vulvovaginal candidiasis is caused by the overgrowth of Candida and is typically characterized by severe itching of the vulva and white curd-like or tofu-like leucorrhea. It may be related to long-term use of antibiotics, pregnancy, low immunity and other factors. Treatment requires the use of antifungal drugs such as clotrimazole vaginal tablets, miconazole nitrate suppositories, and fluconazole capsules as directed by the doctor, while keeping the vulva dry and clean.

2. Bacterial vaginosis

Bacterial vaginosis is caused by an imbalance of vaginal flora. Thin leucorrhea may appear gray-white with a fishy smell, and some patients may experience mild itching. Excessive vaginal douching and frequent sexual contact may trigger it. You can use metronidazole vaginal gel, clindamycin phosphate vaginal suppositories and other drugs as directed by your doctor, and avoid using irritating lotions.

3. Trichomonal vaginitis

Trichomonal vaginitis is caused by Trichomonas vaginalis infection. The typical symptoms are yellow-green foamy leucorrhea with obvious itching, which may be complicated by frequent urination and painful urination. Mainly spread through sexual contact. Treatment requires oral administration of metronidazole tablets or tinidazole tablets as directed by the doctor. Sexual partners need to be treated simultaneously and avoid sexual intercourse during treatment.

4. Allergic contact dermatitis

Contact with sanitary napkins, detergents and other allergenic substances may cause allergic dermatitis of the vulva, which manifests as itching, redness and swelling with a small amount of discharge. It is necessary to stop using suspected allergenic products immediately, clean with warm water and then apply hydrocortisone cream to relieve symptoms. In severe cases, oral anti-allergic treatment with loratadine tablets is required.

5. Diabetes related infections

Diabetic patients with poor blood sugar control are prone to fungal or bacterial infections, which manifest as recurrent vulvar itching and abnormal discharge. It is necessary to monitor blood sugar and regulate it, and choose corresponding drug treatment according to the type of infection, such as bifonazole cream or levofloxacin tablets.

You should choose cotton breathable underwear and change it daily to avoid friction and irritation from wearing tight pants. Just use warm water when cleaning the vulva. There is no need to use lotion frequently to avoid destroying the balance of the flora. Reduce the intake of high-sugar foods and supplement yogurt containing lactic acid bacteria in an appropriate amount. If symptoms last for more than 3 days or are accompanied by fever, abdominal pain, etc., you need to see a gynecologist as soon as possible for routine leucorrhea examination. During treatment, sexual intercourse is prohibited until the symptoms completely disappear, and medication should be taken according to the course of treatment to avoid recurrence.