Question: For the year, day after day, itchy external genitals (large, small lips). Went to the doctor, she said that I had erosion and severe inflammation of the vagina. Passed by PCR analysis did not find anything. What do you advise? What can it be. I am married I want to get pregnant and give birth to a child.
Answer: A survey of pruritus genitaliyMazok floruBakteriologicheskoe issledovaniePTsROpredelenie markerovAntitela to infektsiyamSbor anamnezaObschy analysis kroviOpredelenie glyukozyObschy analysis mochiOsmotr gynecologist and dermatovenerologaKolposkopiyaOpredelenie gormonovKonsultatsiya allergologaBiohimiyaUZI pecheniKonsultatsiya gasteroenterologa and dietologaUZI of small tazaOsmotr and palpation limfouzlovKonsultatsiya immunologaKonsultatsiya nevropatologaKonsultatsiya psychiatrist 1. Smear on the flora of Gramu2. Bacteriological study – sowing the definition of sensitivity to antibiotics. 3. PTSR4. Determination of markers of hepatitis, HIV, syphilis (PB, HIV, HbSAg, anti-HCV). 5. Antibodies to infections and parasites (chlamydia, trichomoniasis, toxoplasmosis, giardiasis), consultation infectionist. If not: 1. History taking – itching in other parts of the body, skin itching (lymphoma, multiple myeloma, diabetes, thyroid cancer, scabies, atopic dermatitis, urticaria, pathology of the gastrointestinal tract, liver, kidney, effects of drugs, drugs). 2. Total blood count (anemia, blood disorders, allergies, parasitic infestations). 3. Determination of fasting blood glucose (blood sugar). 4. Urinalysis (infection, sugar, salt). 5. Visit gynecologist and dermatologist, scraping and microscopy (contact dermatitis, scabies, pediculosis, urticaria, lichen planus, trauma, herpes, papilloma, mycosis). 6. Colposcopy (papilloma, leukoplakia, vulvar dystrophy, kraurosis). 7. Determination of blood hormone – TSH St. T4 (hypothyroidism, hyperthyroidism). 8. Consultation allergist – allergoproby. 9. Biochemistry of blood – liver parameters (ALT, AST, gamma-GT, total and direct bilirubin), urea, creatinine, uric acid (kidney failure). 10. Ultrasound of the liver (4.13 – hepatitis, hepatotoxicity, cholestasis). 11. Consulting a gastroenterologist and a nutritionist, an analysis of feces for dysbacteriosis, scatology, analysis of feces for eggs of intestinal worms. 12. Ultrasonography of the pelvis, tumor markers, general biochemistry of blood (the volume of education of the liver, pancreas). 13. Inspection and palpation of lymph nodes, chest radiography (lymphoma, lymphogranulomatosis) 14. Consultation immunologist, a study of the immune system. 15. Consulting neurologist (neurosis, paresthesia, swelling of the brain) 16. Consulting psychiatrist (psychogenic itch)