Hello dear Understand your concern Following are the causes of severe itchiness in the vagina: hygiene problem, fungal infections, allergic dermatitis, vaginitis/vulvitis. Exact diagnosis is made by examination and after proper investigation like swab test, blood test, vaginal examination. Take the following advice: Wash vagina with slated warm water 2-3 times per day, apply apple cidar vinegar, maintain hygiene with V wash plus, wear pure cotton loose inner wear, change undergarments frequently, apply clotrimazole plus hydrocortisone ointment, take single dose treatment: azithromycin + flucanazole + tinidazole. Keep the area clean and dry. You can also apply candid powder. Hope this may help you Best regards Dr. Sagar