Should fungal examination be performed for vulvar itching found during gynecological examination?

gynecological examination reveals itching in the external genitalia, which usually requires fungal examination. External genital itching may be related to factors such as fungal infections, allergic reactions, and skin diseases, among which fungal infections are one of the common causes. Fungal examination can clarify the cause and guide subsequent treatment. External genital itching is a common gynecological symptom, and fungal infections such as vulvovaginal candidiasis are one of the main causes. Fungal examination includes direct microscopy and culture methods, which can quickly identify pathogenic bacteria such as Candida albicans. If the test result is positive, targeted antifungal drugs should be used. If the result is negative, other causes such as contact dermatitis, lichen sclerosus, and other non infectious factors need to be investigated. The inspection process is non-invasive and can be completed by sampling secretions, making it suitable as a routine screening item.

Keep the external genitalia clean and dry in daily life, and avoid wearing tight synthetic underwear. Do not scratch when itching occurs, and use mild and non irritating cleaning products. If symptoms persist or are accompanied by abnormal secretions, redness, swelling, and ulceration, timely re examination and completion of HPV, mycoplasma, and other tests should be conducted to rule out mixed infections. It is recommended to have a gynecological physical examination every year, and the screening frequency of high-risk groups such as diabetes patients can be appropriately increased.