What department should I go to for abnormal itchy leucorrhea?

Abnormal itching of vaginal discharge usually requires a visit to the gynecologist. This situation may be related to gynecological diseases such as vaginitis, cervicitis or pelvic inflammatory disease. It is recommended to seek medical examination in time and treat the symptoms after the cause is determined.

1. Vaginitis

Vaginitis is a common cause of abnormal itchy vaginal discharge, which is mostly caused by bacterial, fungal or trichomonal infections. Bacterial vaginitis is characterized by increased vaginal discharge and odor; fungal vaginitis (such as candidal infection) is often accompanied by tofu-like vaginal discharge and vulvar itching; trichomonal vaginitis may cause yellow-green foamy vaginal discharge. In terms of treatment, bacterial vaginitis can use metronidazole or clindamycin; fungal vaginitis is often treated with fluconazole or clotrimazole; trichomonal vaginitis requires oral metronidazole or tinidazole.

2. Cervicitis

Cervicitis may be caused by pathogen infection or mechanical damage, and is manifested by increased leucorrhea, yellowing, odor, and even lower abdominal pain. In terms of treatment, mild cervicitis can be treated with local medications such as povidone-iodine suppositories or antibiotic suppositories; moderate to severe cervicitis may require physical therapy, such as laser, cryotherapy, or microwave therapy; if combined with infection, oral antibiotics such as azithromycin or doxycycline are required.

3. Pelvic inflammatory disease

Pelvic inflammatory disease is mostly caused by ascending infection, and is manifested by abnormal vaginal discharge, lower abdominal pain, fever, etc. In terms of treatment, mild pelvic inflammatory disease can be treated with oral antibiotics such as cephalosporins or quinolones; moderate to severe pelvic inflammatory disease may require intravenous antibiotics; if an abscess is formed, surgical drainage or resection of the lesion is required.

Abnormal itching of vaginal discharge is a common gynecological symptom and may be related to a variety of diseases. It is recommended to seek medical attention in time and make a clear diagnosis through routine vaginal discharge examination, cervical smear or B-ultrasound. Treatment should choose drugs or physical therapy according to the specific cause. At the same time, pay attention to personal hygiene, avoid unclean sexual life, and keep the vulva clean and dry. If the symptoms persist or worsen, further examination is required to rule out other diseases.