Conversation: The conversation between human and AI assistant.
[|Human|] hello,I had some irritation and  itching of the labia majora during my period ,i moisturized and the condition improved however after my period my husband and i had intercourse and overnight there was severe burning itching,inflammation and vaginal discharge. Since i have had yeast infections before I applied miconazole nitrate cream externally and went to my ob/gyn.She did a pap smear and gave me a supossitory and a one dosage of antibiotics.Now the inflammation is all gone and the itching has reduced drastically,however the labia majora is very dry and i have small cuts that are extremely painful along with some itching.I am still applying the micanazole cream externally how do make the dryness and cuts on the labia majora go away? please help.
[|AI|]  Hello and welcome to Chat Doctor Painful cuts on the labia major along with pain, does bring in a possibility of herpes genitalia, which needs to be ruled out by physical examination. Moreover, since the itching and vaginal discharge has subsided on treatment given for yeast infection, however, the cuts and pain has persisted, which goes in favor of another possibility other than that of yeast infection, i.e. herpes genitalia. I would suggest that you seek another appointment with your gynecologist or a dermatologist, regarding confirmation of diagnosis. Herpes usually presents as discrete, well-defined, erosion/cuts with pain and burning sensation. Treatment of a confirmed herpes infection is by oral antivirals like acyclovir or acyclovir or val acyclovir. Hope this helpsRegards