Diagnosis and treatment of vulvar itching and abnormal leucorrhea

As mentioned earlier, vulvovaginal itching and leucorrhea are most commonly associated with various vaginal inflammatory conditions, of which pseudomycosis vulvovaginalis (previously known as mycosis fungoides) is the most common.

The causative agent of vulvovaginal pseudomycosis (mycosis fungoides) is Pseudomycetes, which is one of the normal microbiota of the vagina and is often found in the vagina, oral cavity and intestines of humans. Some patients are infected directly through sexual life.

Pseudomycetes (mold) infection patients, some one-time cure no recurrence, but also some recurrent episodes despite treatment. The diagnosis of recurrent vulvovaginal pseudomycosis (recurrent mycosis fungoides) is made for those who have had four or more infections in a year. In severe cases of vulvovaginal pseudomycosis (mycosis fungoides) and recurrent vulvovaginal pseudomycosis (recurrent mycosis fungoides), treatment needs to be extended and maintenance therapy should be continued after the initial treatment, as well as screening and necessary treatment for symptomatic sexual partners.

Those who have or have had pseudomycosis vulvovaginalis (mycosis fungoides) should avoid humid environment, avoid spicy and cold food, keep the vulva and vagina clean and avoid unclean sex.

Pseudomycosis (mycobacterium) is sometimes associated with other pathogenic bacteria and should be treated in a comprehensive manner.