The 32 year-old currently pregnant woman presented with severe itching and pain at the genitals. The itching started when she was pregnant with her third born, who is 2 years old now. She has been to hospital so many times and has tried a lot of different medication but to no avail. Hpc: itching is external on the suprapubis and the labia majora. The itching is so intense that it mostly become sore due to frequent scratching. Dhx: she has tried the ff meds miconazole, clotrimazole 2%, fluconazole tabs, neomycin cream yet to no avail. O/e: no visible rash seen but skin of the labia majora is rough and crusty. How should I treat her.
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Check her blood sugar. 1.You should maintain high grade of personal hygiene. 2.Do change your underclothes at least 2 times a day 3.Wear cotton under garments 4.Stay hydrated. Drink plenty of fluids. 5.Keep the area dry homeopathy is a very effective for this problem n has very encouraging results. And homeopathic medicines are safe and do not have any side effects at all.
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If no active lesions available better ask history properly seems case of lp genital, psycho cutaneous disorder or getting any infection from partner all you can rule out then can start treatment or refer to any dermatologist including me who is also experienced in venereal disease.
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First of all in such cases it's difficult to give advice on based of description only. Doctors need to see the lesions. But one of possibility according to description is tinea corporis n it's very resistant also. She should consult a good dermatologist.
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