I have had vulvar itching for several years, previously intense at night and worse during periods. Scratching caused burning, redness, and thickened/wrinkled skin. After taking fluconazole 150 mg, I noticed partial improvement (~60%), the itching is less intense and less frequent, and period-related itching has stopped, but mild itching persists. Sometimes aggressive. I also have very dry, itchy, flaky skin on my arms, legs, and thighs, with redness and small bumps after scratching. This makes me unsure whether my vulvar symptoms are due to a fungal infection or a general dry/eczema-prone skin condition. I am unmarried and sexually inactive. I also experience vulvar dryness related to itching. Im not sure now if the fluconazole worked correctly or the problem still exists? how can I prevent relapse, and should I consult a gynecologist or a dermatologist?