What is the cause of vulvar itching?

Patient's question:

I started experiencing this two months ago. Every time I have my period, the external area becomes very itchy. It gets even itchier at night, but the itching stops immediately after the period ends. What could be the reason for this?

Doctor's answer:

Hello, you may have poor menstrual hygiene. During your period, it is essential to pay attention to hygiene:
(1) Change menstrual pads frequently.
(2) Wash the external genital area with warm water daily. Avoid soaking in baths; use a basin bath instead to prevent dirty water from entering the vagina and causing infection.
(3) After urinating or defecating, wipe from front to back to avoid transferring bacteria from the anal area to the external genital area.
(4) Eat less extremely cold or irritating foods, such as chili peppers and alcohol.
(5) Drink plenty of hot water to keep bowel movements regular.

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