Vulval itching can affect any woman, at any age. It can lead to scratching and rubbing which can break the skin and can lead to soreness, bleeding and skin infections. How does vulvar pruritus manifest without mycosis and how to treat it?

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Vulva

Located at the bottom of the abdomen, the vulva is the set of external female genitalia. It includes the labia majora and labia minora, which surround the urinary meatus, the outer part of the clitoris and its hood, as well as the entrance or vestibule of the vagina.

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Vulvar pruritus

Vulvar pruritus is simply the itching of the vulva, that is to say the external part of the female genitalia. Women with vulvar pruritus feel an irrepressible urge to scratch the vulva. A feeling of discomfort sets in. As much to say to you that you will have enough agitated moments. This can easily generate wounds following strong movement on the part of some.

Manifestation of vulvar pruritus

It is a disease that manifests itself by irritation of the vulva and an irresistible urge to scratch the private parts. It does not matter the case of pruritus. These are its irritations and desire to scratch that we call itching. They can be located on specific areas such as the lips or external organs.

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What causes vulvar pruritus?

Causes of an itchy vulva tend to differ slightly between adults and children. However, they can include the following:

Infections

Sensitivity of the vulval skin

Sensitivity of the vulval skin is the most common cause of persistent vulval itch. The vulval skin can become sensitive to anything that comes into contact with it, such as:

• Creams
• Soaps.
• Perfumes.
• Deodorants.
• Excessive sweat.
• Condoms.
• Wet wipes.
• Textile dyes – for example, in coloured underwear.
• Detergents.
• Panty liners.
• Sanitary pads and tampons.

Skin conditions that may affect vulval skin

Urinary or faecal incontinence

• This can make the skin of the vulva moist and irritated.
• In little girls a particularly common cause is careless or inadequate washing or drying of the area, and wiping the bottom in the ‘wrong’ direction (towards the front).
• Scrubbing too vigorously with toilet tissue can also contribute.

Menopause

• Because of lower oestrogen levels, the vulval skin tends to become thinner and drier during and after the menopause. This can make it prone to itch.
• The low oestrogen levels can also cause vaginal dryness.
• Low oestrogen levels can start before the actual menopause, ie when you are still having periods.

Pregnancy

• This can cause an itchy vulva due to swelling of the veins in the vulva (vulval engorgement).
• There is also an increased risk of vaginal discharge and thrush during pregnancy, which may also cause itch.

Breastfeeding

Can cause an itchy vulva due to low oestrogen levels.

Generalised body itch

Any cause of generalised body itch may also cause an itchy vulva. For example, a generalised body itch may be a side-effect of some medicines or due to some blood disorders, thyroid problems or kidney or liver disease.

Diabetes

Can cause an itchy vulva, particularly if the diabetes is not well controlled and sugar levels are tending to run high.

Cancer of the vulval skin

• This is an uncommon cause.
• Usually there is a small lump or warty bit of skin as well as itch.

Stress

Stress can cause an itchy vulva. It may also make an itchy vulva which is due to some other cause last long after the original cause has settled.

Unknown causes

In some cases, including some severe cases, no cause can be found for an itchy vulva. How to treat vulvar pruritus?

How to treat vulvar pruritus?

This involves treating the cause if possible.

Treatments for itchy vulva (pruritus vulvae) vary, depending on the cause. For example:

• Identifying and stopping the use of anything that may be sensitising the vulval skin.
• Using antifungal cream for thrush.
• Using antibiotic medicines for certain infections,
• Using steroid cream for various skin conditions.
• Using hormone cream or hormone replacement therapy (HRT) if the itch is related to the menopause.

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