How to deal with vulvar itching

Patient's question:

Gynecological secretions are itchy

Doctor's answer:

Vaginal itching is a common symptom among gynecological patients, often caused by various external genital lesions, but it can also occur in individuals with completely normal external genitalia. When itching is severe, patients may experience occasional nighttime itching at mild levels, or severe discomfort that disrupts daily life and work. Clinically, the most common cause is genital infection. Vaginal itching is primarily located on the clitoris and labia minora, but it can also affect the labia majora, perineum, or even the perianal area. It often recurs intermittently but can also be persistent, generally worsening at night. Vaginal itching without identifiable factors or causes typically occurs in women of reproductive age or postmenopausal women, often affecting the entire external genital area but may also be limited to a specific part or one side. Although the itching may be extremely severe, even unbearable, the local skin and mucosa appear normal, or there may only be scratch marks due to excessive scratching.
How to treat vaginal itching:
1. Eliminate local or systemic factors causing the itching. If the patient has a partner, both should be treated simultaneously to prevent cross-infection and recurring episodes. Avoid overusing anti-itch medications and seek treatment under a doctor's guidance. Pay attention to menstrual hygiene, changing menstrual pads frequently and cleaning regularly during menstruation. Maintain cleanliness and dryness of the external genitalia, avoid scratching, and do not use hot water or soap.
2. Keep the external genitalia clean and dry, avoiding hot water washing or soap scrubbing. If there is an infection, potassium permanganate solution can be used for sitz baths, but local scrubbing is strictly prohibited.
3. Avoid using or overusing medications, scratching, or local friction. Wishing you a speedy recovery!

📌 Related Posts