Why is your Vagina Itchy
- Vaginal itching can be a sign of serious health issues like sexually transmitted infections and sometimes, vulvar cancer.
- It is quite common and usually caused by several things like hormonal changes, or irritating substance
Causes
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Irritants:
Chemical irritants, like those found in products that come in contact with the vagina and vulva, can trigger an allergic reaction. This is called contact dermatitis.
- It makes the vagina sore, red, and itchy.
- Examples of products that contain chemical irritants are feminine spray, douches, soaps and shower gel, cream, lotions, detergents, and many more.
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Skin Conditions:
- Skin conditions like psoriasis and eczema can cause itching and redness around the vagina.
- Eczema is a rash that occurs in people with allergies or asthma. The rash is usually itchy and red with a scaly texture.
- Psoriasis causes itchy, red, and scaly patches on the scalp and joints. It can also appear on the vulva.
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Yeast Infection:
- Yeast is a naturally occurring fungus that’s normally present in the vagina but when its growth goes unchecked, it causes an uncomfortable infection.
- It causes burning, itching, and thick whitish discharge.
- Stress, pregnancy, uncontrolled diabetes and hormonal imbalances before your menstrual period can cause yeast infections.
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Bacterial Vaginosis:
- This is triggered by an imbalance between the naturally occurring good bacteria and the bad ones
- It doesn’t always cause symptoms but when they appear, they include itching and abnormal discharge that smells like fish.
- The discharge might be thin, white, or dull gray and it can also be foamy.
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STIs:
- A few STIs cause vaginal itchings like genital warts, chlamydia, genital herpes, gonorrhea, and many more.
- These infections can also cause other symptoms like unusual discharge, genital soreness, and painful urine
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Menopause:
- Menopause causes a drop in estrogen levels and this increases the risk of vaginal itching
- The drop in estrogen makes the tissues of the vagina and vulva drier, thinner, and less elastic, resulting in itching.
- Vulvar Cancer:
- Vaginal itching can be caused by vulvar cancer and this itching doesn’t go away or get better.
When to seek care
- You should see a healthcare professional if the itching is severe and disrupts your daily life or sleep.
- They will help find and treat the root of the itch and also offer advice or prescription to help you find relief.
- You should see your doctor if your vaginal itching persists for more than a week or is accompanied by other symptoms like pain, ulcers, genital redness, unusual vaginal discharge, trouble urinating, or discomfort during sexual intercourse.
What to expect during your appointment
- Your doctor will ask about your symptoms, the severity, and how long they’ve lasted
- They may also ask about your sexual activities.
- A pelvic exam might be carried out
- During the pelvic exam, your doctor will inspect your vulva and use a speculum to see inside your vagina.
- A sample of the skin tissue from your vulva or a sample of your discharge may be collected for analysis.
Medical treatment
- Once the underlying cause of your vagina itching is found, your healthcare professional will recommend treatment options.
- The treatment usually depends on your condition. For example,
- Yeast infections are treated with antifungal medications. It can be pills, creams, or ointment.
- Bacterial vaginosis is treated with antibiotics. These can be pills or creams which you insert into your vagina.
- STIs are treated with antibiotics, antiparasitics, or antivirals. You will also be advised to avoid sex till the infection clears.
- For menopause-related itching, estrogen cream, tablets, or a vaginal ring insert might be prescribed.
Home remedies
- Use warm water to wash your genital area
- Do not use scented soaps, bubble baths, or lotions
- Avoid vaginal sprays and douches
- Wear cotton underwear and they should be changed daily
- Get tested for STIs and encourage your partners to do the same
- Always wipe from the front to back to keep the bacteria in feces away from your vagina and vulva.