Infection on my vergina It's itching for long time

Professional Clinical Assessment: The primary differential diagnoses for chronic vaginal itching in a 23-year-old female include vulvovaginal candidiasis (yeast infection), bacterial vaginosis, trichomoniasis, contact dermatitis, or allergic reactions to hygiene products. The most common pathophysiological mechanism in this age group involves disruption of normal vaginal flora and pH balance, often exacerbated by factors such as hormonal contraception use, intimate hygiene practices, or sexual activity. Given the patient's age and reproductive status, risk factors may include sexual activity, tight-fitting synthetic clothing, use of scented hygiene products, or recent antibiotic use that could disrupt vaginal microbiota. Additional testing should include vaginal pH measurement, microscopic examination of vaginal discharge (wet mount), fungal culture, and STI screening to establish a definitive diagnosis and guide appropriate treatment. Note: Please consult with a healthcare provider for proper examination, diagnosis, and treatment.

For vaginal infection with itching symptoms, use an over-the-counter antifungal cream containing miconazole or clotrimazole for 7 days, applied directly to the affected area 1-2 times daily. Additionally, take oral probiotics specifically designed for vaginal health, and wear cotton underwear while avoiding tight clothing to allow the area to breathe. Maintain proper hygiene by using unscented soap and water, wiping front to back, and avoiding douching or scented products that can disrupt vaginal pH balance. For additional treatment recommendations, ask in the chat.