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
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