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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Itchy Sores On The Labia Majora?

Hi there, I have a very itchy vulva and perineum, every now and again I have what j think are tiny sores (only appear after constant vigorous scratching) and it burns when I pee after sex because my perineum is sore. Sometimes if I wipe there is a bit of blood too. I have quite an odorous discharge also which smells a bit like ammonia, and it is a very chunky consistency. What are the possible causes and would a broad spectrum anti-fungal cream be fine for external relief?
Fri, 11 Mar 2016
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OB & GYN Specialist,  's  Response
Hello,

Thanks for writing to us.

According to your information, it could be due to yeast infection (fungal), STD, sweating, dermatitis, tight clothing, pantyhose, g-strings, allergic reaction to bath products etc.

Do complete blood count, vaginal swab test, routine urine examination and STD profile to pinpoint the diagnosis.

Treatment: 1) Use 1% hydrocortisone cream over labia majora and clitoral part.

Along with that, I suggest you to use Vaginal Suppository or Capsule (combined Clindamycin, Tinidazole and Clotrimazole) like CLINGEN FORTE at bed time for 7 days

2) Wear loose fitting pants and avoid tight fitting jeans, pants, g-strings.

3) Bathing in bicarbonate of soda - Bathe your vulva once or twice a day for 5-10 minutes in a basin or bath.

4) Don’t use perfumed soaps and bath products. Use 100% cotton sanitary pads and tampons.

5) Lean forward when passing urine - this helps to avoid burning or itching and always wipe or pat from front to back.

6) Maintain genital hygiene properly. Wear clean and cotton underwear. Keep the area always dry.

Hope, it helps for you. Take care and Be well.
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What Causes Severe Itchy Sores On The Labia Majora?

Hello, Thanks for writing to us. According to your information, it could be due to yeast infection (fungal), STD, sweating, dermatitis, tight clothing, pantyhose, g-strings, allergic reaction to bath products etc. Do complete blood count, vaginal swab test, routine urine examination and STD profile to pinpoint the diagnosis. Treatment: 1) Use 1% hydrocortisone cream over labia majora and clitoral part. Along with that, I suggest you to use Vaginal Suppository or Capsule (combined Clindamycin, Tinidazole and Clotrimazole) like CLINGEN FORTE at bed time for 7 days 2) Wear loose fitting pants and avoid tight fitting jeans, pants, g-strings. 3) Bathing in bicarbonate of soda - Bathe your vulva once or twice a day for 5-10 minutes in a basin or bath. 4) Don’t use perfumed soaps and bath products. Use 100% cotton sanitary pads and tampons. 5) Lean forward when passing urine - this helps to avoid burning or itching and always wipe or pat from front to back. 6) Maintain genital hygiene properly. Wear clean and cotton underwear. Keep the area always dry. Hope, it helps for you. Take care and Be well.