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Causes of vaginal itching
Causes of vaginal itching


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Vaginal itching

Definition:

Vaginal itching is a tingling or uneasy irritation of the skin of the vagina and the surrounding area (vulva ). The itching may cause a desire to scratch the affected area.



Alternative Names:

Pruritus vulvae; Itching - vaginal area; Vulvar itching



Common Causes:

Common causes of vaginal itching include:

  • Chemical irritants such as detergents, fabric softeners, feminine sprays, ointments, creams, douches, and contraceptive foams or jellies.
  • Menopause. A drop in the hormone estrogen causes vaginal dryness.
  • Stress may increase vaginal itching and make you more susceptible to infections.
  • Vaginal yeast infection
  • Vaginitis . Vaginitis in girls before puberty is common. If a young girl has a sexually transmitted vaginal infection, however, sexual abuse must be considered and addressed.

Other possible, but less common, causes of vaginal itching include:

  • Precancerous skin conditions of the vulva
  • Pinworms (a parasite infection mainly affecting children)


Home Care:

To prevent and treat vaginal itching:

  • Avoid colored or perfumed toilet tissue and bubble bath.
  • Avoid feminine hygiene sprays and douches.
  • Change out of wet clothing, especially wet bathing suits or exercise clothing, as soon as possible.
  • Cleanse the area by wiping or washing from front to back (vagina to anus) after urinating or having a bowel movement.
  • Eat yogurt with live cultures or take Lactobacillus acidophilus tablets when using antibiotics. Check with your doctor.
  • Keep your genital area clean and dry. Use plain, unscented soap.
  • Keep your blood sugar under good control if you have diabetes.
  • Lose weight if you are overweight.
  • Wear cotton panties or pantyhose with a cotton crotch. Avoid panties made from synthetic materials. For infants and toddlers, change diapers often.

If you are sure that you have a yeast infection, try over-the-counter creams or vaginal suppositories. See: Vaginal yeast infection

For itching related to menopause, your health care provider may consider estrogen cream or tablets to insert vaginally. See: Vaginal dryness

Teach children to resist and report any attempted sexual contact by another person. Do not try to remove any foreign object from a child's vagina. Take the child to a health care provider right away for removal.



Call your health care provider if:

Call your health care provider right away if:

  • You have increased thirst or appetite, unexplained weight loss, frequent urination, or fatigue -- these may be signs of diabetes.
  • You have pelvic or lower abdominal pain or fever.

Call your health care provider if:

  • You have blisters or ulcers on your vagina or vulva.
  • You have burning with urination or other problems urinating.
  • You have unusual vaginal bleeding , swelling, or discharge .
  • Your partner also has symptoms or you think you may have a sexually transmitted infection.
  • Your symptoms get worse, last longer than 1 week, or keep coming back despite self-care.


What to expect at your health care provider's office:

Your doctor will examine you, including doing a pelvic exam, and ask questions to help diagnose the cause of your vaginal itching. These questions may include:

  • When did the itching begin?
  • Have you had it before?
  • Is the itching severe?
  • Does it limit your activities?
  • Where exactly is the itching? On the inside of the vagina or on the outside (vulva) as well?
  • How often do you bathe or shower?
  • Do you use scented soap, scented or colored toilet paper, or bubble bath?
  • Do you frequently swim or participate in water sports? Do you change your clothes soon after such activities?
  • Do you wear cotton panties or synthetic ones?
  • Do you wear tight pants or tight pantyhose?
  • Do you use douches or feminine hygiene spray?
  • Are you sexually active? Do you use contraception? What type?
  • Does anything make you feel better?
  • Does anything make you feel worse?
  • Have you tried any over-the-counter creams? Which ones?
  • Do you have any other symptoms, such as vaginal bleeding , swelling, rash, or pain on urination ?
  • Do you have a personal or family history of diabetes?
  • What medications do you take?
  • What is your menstrual history? How old were you when your periods began? How often do your periods usually come? How long do they generally last?
  • Do you have any allergies?

Diagnostic tests that may be performed include:

  • Culture and microscopic exam of vaginal discharge
  • Pap smear
  • Skin biopsies of the vulvar area
  • Urine and blood studies (including hormone levels)

The health care provider may prescribe drugs, such as:

  • Antibiotics for bacterial vaginal infections, including sexually transmitted diseases
  • Antifungal drugs for yeast infections
  • Benzodiazepines or antihistamines for nighttime relief
  • Ointments containing hormones
  • Steroid creams or lotions to reduce inflammation


References:

Biggs WS, Williams RM. Common gynecologic infections. Prim Care. 2009 Mar;36(1):33-51,

Superficial fungal infections. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 13.

Eckert LO, Lentz GM. Infections of the lower genital tract: vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 22.




Review Date: 11/7/2011
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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