Medical Centric

Why is your Vagina Itchy: Causes, Symptoms, Treatment.

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

  1. 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.
  1. 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.
  1. 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.
  1. 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.
  1. 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
  1. 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.
  1. 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.