Brief Answer:
FOLLOW THE GUIDELINE.

Detailed Answer:
Hello,

Thanks for writing to us on Healthcare Magic.

From given information, underlying causes of labial itching with grey colored presentation could be yeast or fungal infection, eczema or dermatitis, Lichen Sclerosus, Vulval Intraepithelial Neoplasia (rare). It may be due to some allergic reaction with soap or detergent/ perfume or other bath products etc.

However, it is quite difficult to diagnose from the web without clinical view or examination. You can upload one image of affected region to assist her better or consult with dermatologist to pinpoint the diagnosis and proper management.

In this context, some predisposing factors need to be eliminated like diabetes, HPV infection, low estrogen state, autoimmune disorder, thyroid disturbance, long term use of hormonal pill, contact of chemical subs, sweating around pelvic region, improper genital hygiene etc. Associated blood work like hormone test, blood sugar, HPV test etc may be required.

In this scenario, she can take following treatment for temporary purpose :

1) Topical Cream or ointment: Combination of clindamycin and clotrimazole (like CLEOCIN etc). It is effective in bacterial or fungal infection.

2) In severe itching with white to grey patches, steroidal ointment is required like combined Clobetasol propionate and salicylic acid (like CLOVATE-SL).

3) Anti-allergic or anti-histamine medication like levocetirizine once daily at bed time.

4) Take balanced diet with avoidance of allergic food stuff like egg, brinjal, crab, prawn etc. Add anti-oxidant like vitamin-E, C, selenium, zinc supplement.

5) Avoid mental stress. Maintain genital hygiene properly. Keep the genital area dry and wear loose fitting cotton underwear or pant.

Lastly, if problem persists in spite of above treatment, she must visit to her DERMATOLOGIST for next level treatment.

Hope, I have answered your query. If you need any clarification, you can freely ask me.

Wish her good health and take care yourself.

Regards,
Dr Soumen

For future query, you can directly approach me through
WWW.WWWW.WW

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Brief Answer:
DETAILS ARE GIVEN BELOW.

Detailed Answer:
Hello,

Thanks for follow up query.

Combined Clindamycin and Clotrimazole cream like CLEOCIN etc may be gotten over the counter.

Steroidal medications are prescription only drug and you need to take a complete prescription from your doctor after confirmation of diagnosis.

Hope, it helps for you. If you don't have any other query, you can close the discussion.

Good luck. All the best.

Regards,
Dr Soumen

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