MEDLINEplus Health Information: Return to home page   A service of the National Library of Medicine: Go to NLM home page
Search     Advanced Search    Site Map    About MEDLINEplus    Home
Health Topics: conditions, diseases and wellness Drug Information: generic and brand name drugs Dictionaries: spellings and definitions of medical terms Directories: doctors, dentists and hospitals Other Resources: organizations, libraries, publications, MEDLINE

Medical Encyclopedia

Disease     Injury     Nutrition     Poison     Special     Surgery     Symptoms     Tests

Reproductive anatomy, female
 
Overview   Treatment   

Vaginal itching

Alternative names:

pruritus vulvae; itching in the vaginal area; vulvar itching

Home care:


To help prevent and treat vaginal yeast infection:

  • Keep the genital area clean and dry. Use plain unscented soap.
  • Take showers rather than tub baths.
  • Wear cotton panties or pantyhose with a cotton crotch. Avoid panties made from nonventilating materials. For infants and toddlers, change diapers often.
  • Don't sit around in wet clothing--especially wet bathing suits or exercise clothing.
  • Avoid douches--they may make the itching worse.
  • Ask your health care provider about eating yogurt, sour cream, and buttermilk, or taking acidophilus tablets when taking antibiotics.
  • After urination or bowel movements, cleanse by wiping or washing from front to back (vagina to anus).
  • If obese, lose weight.
  • Avoid broad-spectrum antibiotics unless absolutely necessary.

Avoid scratching; this will only aggravate the problem. Avoid overexertion, heat, and excessive sweating. Keep the genital area clean and dry. Sexual activity might need to be delayed until symptoms cease.

It may be helpful to use a lubricant, such as K-Y Lubricating Jelly, during intercourse. Low-potency, nonprescription steroid creams or ointments (corticosteroids) may be effective in treating symptoms.

For vaginal itching associated with diabetes mellitus, follow prescribed therapy for treating the underlying disease (mycotic vulvar infection). Adhere strictly to your prescribed treatment program.

For vaginal itching caused by vulvovaginitis before puberty, follow recommendations above for prevention of vaginal yeast infection. In addition, avoid using colored or perfumed toilet tissue, scented soap, and bubble bath.

If antibiotics are prescribed for any reason, yogurt may help reduce the risk of developing vaginal itching by preventing vaginal yeast infections.

Teach children to resist and report any attempted sexual contact by another person. Don't try to remove any foreign object from a child's vagina. Take the child to the health care provider for removal.

Call your health care provider if:

What to expect at your health care provider's office:

The medical history will be obtained and a physical examination performed.

Medical history questions documenting the vaginal itching in detail may include:

  • time pattern
    • When did the itching begin?
    • Has it occurred before?
  • quality
    • Is the itching severe?
    • Does it limit activities?
    • Is it getting better or worse?
  • location
    • Is the itching confined to the interior of the vagina?
    • Is the itching on the external vaginal area (vulva)?
  • aggravating factors
    • How often do you bathe?
    • Do you usually shower or use the bathtub?
    • Do you use scented soap, scented or colored toilet paper or bubble bath?
    • Do you frequently swim or participate in water sports?
    • Do you wear cotton panties or synthetic ones?
    • Do you wear tight pants or tight pantyhose?
  • relieving factors
    • What helps?
    • Have over-the-counter creams been tried? What kind?
    • Have douches been tried? What kind?
  • other
  • additional important information
    • What medications are being taken?
    • What is your menstrual history (complete history)?
    • Do you have any allergies?
    • Are you sexually active?
    • Do you use creams, deodorant sprays, or lubricants?
    • Do you use contraception? What type?

The physical examination may include a pelvic examination.

Diagnostic tests that may be performed include:

Intervention:
Antifungal drugs may be prescribed for yeast infections. When indicated, steroid creams or lotions may be prescribed to reduce inflammation. Ointments containing hormones may be ordered, and benzodiazepines or antihistamines may be prescribed for nighttime relief.

After seeing your health care provider:
You may want to add a diagnosis related to vaginal itching to your personal medical record.

Update Date: 02/09/00
Updated by: J. Gordon Lambert, MD, Associate Medical Director, Utah Health Informatics and adam.com editorial




Adam

The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2000 adam.com, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Health Topics | Drug Information | Dictionaries | Directories | Other Resources