Hello dear Causes of dryness and itching in vagina are as follow. 1. Vaginal Infection: candidiasis/yeast, HPV 2. Vulvovaginitis 3. Trichomonas Infection 4. Urethritis 5. Generalized Anxiety Disorder 6. Contact dermatitis Do the following test by consult with gynecologist: 1. Gram stain and culture 2. PCR and nucleic acid amplification test:swab should be taken from urethra 3. Urine test 4. USG if needed Treatment are as follow 1. Wash your vagina with this water twice a day for two to three days with warm water 2. Apply Apple cider vinegar: it has excellent antibacterial and antifungal properties 3. Salt Bath- Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 4. Antibacterial/fungal talcs: apply candid powder 5. Keeping The Vagina Dry (Not wet, clean well) 6. Wear Loose Clothing 7. Change out of sweaty or wet clothing as soon as possible 8. Do use hygiene sprays 9. add yogurt and other fermented foods to your diet to promote healthy bacteria Reduce the amount of sugar you eat. 10. Also take antibiotic You should use following single dose treatment: 1. AZEE 1000 mg (AZITHROMYCIN) 2. TINI 1 G (TINIDAZOLE) 3. ZOCON 150 mg (FLUCONAZOLE) For wart use following treatment 1. Topical: 80% Trichloroacetic acid gel 0.15-0.5 % PODOFIX GEL 2. If not respond you can do excision by Best is nitrogen cryotherapy: very less scar after ablation other are electrocauterization and simple excision Hope this may help you. Take care and stay healthy.