Vulvovaginitis

Alternative names:

inflamed vulvae

Treatment:

Infection is treated appropriately, depending on the specific cause. This may include oral or topical antibiotics and/or antifungal creams, antibacterial creams, or similar medications. A cortisone containing cream may also be used to relieve some of the irritation. If an allergic reaction is involved, an antihistamine may also be prescribed. For women who have irritation and inflammation caused by low levels of estrogen (post menopausal), a topical estrogen cream might be prescribed.

Improved perineal hygiene is necessary to help healing and to prevent future reinfection. Sitz baths may be recommended. It is often helpful to allow more air to reach the genital area. Wearing cotton underwear (rather than nylon) or underwear that has a cotton lining in the crotch area allows greater air flow and decreases the amount of moisture in the area. Removing underwear at bedtime may also help.

Note: If a sexually transmitted disease is diagnosed, it is very important that your partner(s) receive treatment also, even if there are no symptoms. Many organisms can harbor themselves without producing symptoms. Failure of the partner(s) to accept treatment can cause continual reinfection which may eventually (if not taken care of) lead to more extensive problems, possibly limiting future reproductivity and effecting overall health.

Expectations (prognosis):

Proper treatment of the infection is usually very effective.

Complications:

• persistent discomfort
• superficial skin infection (from scratching)
• complications of the causative condition (such as gonorrhea and Candida infection)

Calling your health care provider:

Call your health care provider if vulvovaginitis symptoms are present; or if known vulvovaginitis does not respond to treatment.