Hello dear I understand your concern Sever itching in the vagina could be due to vaginal infection like fungal, lichen planus, contact dermatitis, vulvovaginits. Vaginal examination by the gynecologist and vaginal swab test. vaginal cell microscopy will help in the diagnosis. Doctor will give following advises: Single dose of the azithromycin + tinidazole + fluconazole Vaginal suppository of clotrimazole and lactobacillus Apply mild steroid ointment and vagisil cream Wash vagina with warm salted water 2-3 times per day Wear pure cotton loose inner and maintain proper pelvic hygiene Drink plenty of water and take healthy diet Hope this may help you Contact CHM for further health query Best regards Dr. SAGAR