Patient's question:
NoDoctor's answer:
Hello, pruritus of the external genitalia is a common symptom in gynecological patients. It is often caused by various different lesions of the external genitalia, but it can also occur in individuals with completely normal external genitalia. When the itching is severe, patients may experience occasional itching at night, or in severe cases, they may be unable to sit or lie down, affecting their daily life and work. Clinically, the most common cause is genital infection. Pruritus of the external genitalia is often located on the clitoris, labia minora, and can also affect the labia majora, perineum, or even the perianal area. It is usually episodic but can also be persistent, generally worsening at night. Unexplained pruritus of the external genitalia typically occurs in women of reproductive age or postmenopausal women, often affecting the entire external genitalia, but it may also be limited to a specific area or one side of the external genitalia. Although the itching may be very severe, even unbearable, the local skin and mucosa appear normal, or there may only be scratch marks due to excessive scratching.How to treat pruritus of the external genitalia:
1. Eliminate local or systemic factors that cause 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 the guidance of a doctor. Pay attention to menstrual hygiene, changing menstrual pads frequently during menstruation, and keeping the area clean. Maintain cleanliness and dryness of the external genitalia, avoid scratching, do not use hot water for washing, and avoid using soap.
2. Keep the external genitalia clean and dry, avoid washing with hot water, and avoid scrubbing with soap. 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, and local friction.