A burning sensation in the vulva and abnormal vaginal discharge may be caused by vaginitis, vulvitis, or a sexually transmitted infection, and treatment should be based on the specific cause. Vulvar burning and abnormal vaginal discharge are common gynecological symptoms that may be related to a variety of diseases. Vaginitis is one of the most common causes, including bacterial vaginitis, candidal vaginitis, and trichomoniasis. Bacterial vaginitis usually presents as grayish white vaginal discharge with a fishy smell; candidal vaginitis is accompanied by white curd-like discharge and vulvar itching; the vaginal discharge of trichomoniasis is yellow-green, foamy, and accompanied by a distinct odor. Vulvitis may also cause a burning sensation, which is common when the vulvar skin is irritated or infected, such as contact with allergic substances or improper hygiene products. Sexually transmitted infections such as gonorrhea and chlamydia can also cause similar symptoms and require laboratory tests to confirm the diagnosis. Treatment methods vary for different causes. Bacterial vaginitis can be treated with antibiotics such as metronidazole or clindamycin; fungal vaginitis is often treated with antifungal drugs such as fluconazole or clotrimazole; Trichomonas vaginitis requires oral metronidazole or tinidazole. The treatment of vulvitis requires avoiding irritants, using mild cleaning products, and applying hydrocortisone ointment topically to relieve symptoms. Sexually transmitted infections require the selection of targeted antibiotics based on the pathogen, such as ceftriaxone for gonorrhea and azithromycin for chlamydial infections. In daily care, keep the vulva clean and dry, avoid wearing tight clothing, and choose cotton underwear. In terms of diet, consume more foods rich in probiotics, such as yogurt, to enhance immunity; avoid spicy and irritating foods to reduce inflammatory responses. If symptoms persist or worsen, seek medical attention in time to avoid delaying the condition. |
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