What about vulvar itching?

Vulvar pruritus mainly occurs in vagina, outside labia majora, pubic mound, clitoris, labia minora and perineum, and can spread to the vicinity of anus. This is a local itching. Itching is often unbearable, especially at night. It is often aggravated during menstruation or after eating irritating food. Vulvar pruritus is often paroxysmal, partly persistent, often aggravated at night, and fidgety when itching is serious. Long-term itching can cause ulceration, redness or secondary infection. Due to long-term scratching, local infiltration, hypertrophy and pigmentation may occur. According to the clinic, there are only secondary lesions without primary lesions, and the diagnosis is easy.

Most girls who suffer from this disease are ashamed to seek medical treatment, and often can't get timely treatment. Over time, they become stubborn and itchy, which will affect their mental health and even their study and work.

There are many reasons for pruritus vulvae. To sum up, the most common local factors leading to this disease are:

(1) external stimulus. Sometimes birth control pills can also cause itching. Tight underwear, underwear friction and menstrual belt stimulation can also cause itching. Because we don't pay attention to vulva hygiene, vaginal secretions irritants, vulva secretions, sweat and other stimuli, dampness, immersion, chemical fiber underwear, unqualified menstrual belt, rough toilet paper, vulva and vaginal allergies caused by drugs, and often washing vulva with soap will all lead to vulva itching. Vulvar pruritus is often accompanied by anal pruritus, which is related to external hemorrhoids, long-term incontinence, anal fistula, anal fissure, anal excreta and fecal residue.

② Local diseases of vulva. Local diseases of vulva include gonorrhea, nongonococcal urethritis, mycotic or trichomonal vaginitis, scabies, crabs, tinea, atrophic corneal lichen, mucosal leukoplakia, pinworm, contact dermatitis and cervicitis. Anal pruritus of girls is often caused by pinworms, which is often aggravated at night. In addition, anal pruritus often involves vulva to cause itching, and apocrine prurigo and apocrine follicular keratosis can also cause severe pruritus of vulva.

③ Systemic diseases. Systemic diseases are mainly diabetes, anemia, leukemia, polycythemia, dermatosis, hepatobiliary diseases (such as jaundice), kidney diseases, lymphoma and so on. In addition to itching all over the body, it is often accompanied by pruritus vulvae. According to statistics, 3.4% of 500 diabetic patients have localized itching, mainly vulvar itching.

④ Mental factors. If you are anxious, depressed, nervous and irritable, you will often feel itchy in the vulva, and the more you scratch, the more itchy you are.

⑤ Diet factors. Lack of iron, riboflavin, vitamin A, vitamin E and fat in food makes vulva skin dry, peeling and itchy.

⑥ Idiopathic vulvar pruritus: The cause is unknown, which is related to emotional disturbance or some slight stimulation.

Treatment:

If pruritus vulvae occurs, first of all, pay attention to the cleanliness of vulva, and don't wash vulva with soap; Try to restrain scratching and rubbing the affected area; Avoid spicy diet; Pay attention to avoid depression and tension. If you still can't relieve the symptoms, you should go to the hospital to find out the cause of itching and treat it according to the cause.

In order to get twice the result with half the effort, it is necessary to remove chronic diseases during the treatment, so as to inquire about the medical history in detail, actively find out the causes and make corresponding external causes. For example, pruritus vulvae caused by diabetes can be relieved by actively controlling diabetes. Female patients with trichomoniasis and mold can take metronidazole and itraconazole for one day in addition to placing corresponding drugs in the vagina every night, and the leucorrhea will decrease after treatment. 30% Stemona tincture can be used to treat crabs, gonorrhea can be treated by gonorrhea or sterilization, and nongonococcal urethritis caused by Chlamydia trachomatis can be treated by minocycline or azithromycin. After treatment, leucorrhea is reduced, the stimulation to vulva is reduced, and vulva itching can be relieved. Take antihistamines such as chlorpheniramine, antongding, ketotifen, etc. Has sedative and antipruritic effects. Topical medicine can be corticosteroid cream and ointment. If it is only pruritus vulvae and the vulva skin is not thickened, you can use cream such as Compound Connollo Cream or Shide Cream. If there is local infiltration and hypertrophy after scratching, irritating drugs can be used to prevent contact dermatitis and complicate the condition.

You can wash or apply ointment with liquid medicine, and you must go to the hospital for treatment in severe cases.

Precautions and precautions:

Pay attention to the treatment of the primary disease, keep the vulva clean and dry, and don't wash it too often with soap. Don't scratch, avoid alcohol and irritating food.

Avoid scratching, rubbing and scalding with hot water.

Proper use of sedatives, safety drugs and antihistamines can regulate mood, relieve anxiety and tension, and relieve itching.

Topical antipruritic drugs.

The above measures are best carried out under the guidance of experienced doctors in regular hospitals.

After discovering vulva itching, we should pay special attention to the disinfection of vulva, clothes, sanitary ware and bedding. It can be diluted, soaked and wiped with sanitary cleaning agents such as Jieeryin.

Vulvar pruritus is a skin disease related to sensory nerve dysfunction. Paying attention to local hygiene is an important way to prevent this disease.

People with pruritus vulvae will feel pruritus vulvae. In severe cases, they will be restless day and night, which will affect their work and life, so it is very painful. This disease is common in women over 45 years old.

The skin nerve endings of vulva are rich and sensitive. Therefore, a small stimulus may cause a strong itching of the vulva. Locally speaking, they do not pay attention to hygiene, suffering from female dermatosis, vaginitis and cervicitis; Allergic reactions and chemical reactions caused by drugs such as cleaning vulva and vagina; The stimulation of urine (especially diabetes) and intestinal parasites (especially burning insects) can cause pruritus of vulvar tumors. From the systemic factors, diabetes, jaundice, vitamin A and riboflavin deficiency, chronic constipation, decreased estrogen level after menopause, decreased leucorrhea and vulvar dryness can also cause itching.

Vulvar pruritus is mild and severe, and it is aggravated at night. Its location is mostly near the clitoris and labia minora, and it will spread all over the vulva and anus in severe cases. Due to long-term; Itching, vulvar skin will thicken due to friction, and hyperkeratosis will turn gray. Frequent scratching may also cause skin damage and lead to secondary infection.

After suffering from vulvar itching, attention should be paid to:

(1) Keep vulva clean and dry, and change underwear frequently. Underwear should be wide, and it is best to use soft cotton products.

Vulvar pruritus is a symptom caused by various unstable lesions of vulva, and it is a common disturbing and unbearable symptom in gynecological diseases.

The cause of disease

1. Local reasons

① Special infection: fungal vaginitis and trichomonal vaginitis are the most common. Both kunzi and scabies can cause itching. Itching around anus and vulva of girls caused by searing fever usually occurs at night.

② White lesions of vulva: also known as chronic vulvar malnutrition, with itching as the main symptom and white vulvar skin. Due to low ovarian function, Menopause can cause vulvar itching.

③ Drug allergy and chemical stimulation: chemical fiber fabrics such as soap, gel plug, IUD, perineum pad and nylon pants can all cause contact dermatitis and cancer itching.

④ Irritating leucorrhea stimulates vulvar pruritus: such as senile vaginitis, cervical erosion, cervical polyp, oral liquid stimulation, diabetes, cystitis, uremia, urinary incontinence, urinary system diseases, etc.

5 vulvar dermatosis, lichen planus, chronic eczema, seborrheic dermatitis, psoriasis, abrasions, pararash, tumors, etc.

2. Systematic reasons

① Diabetes.

2 vitamin A and B deficiency, anemia, leukemia and other vulvar itching.

③ Unexplained vulvar pruritus. At present, it is thought that it may be related to psychological factors.

Clinical manifestations and diagnosis

Itching sites are mostly located in the clitoris and labia minora, and can also spread to lesions such as the big yin, perineum and even perianal region. Sudden attack, but also persistent, at night.

When the diagnosis is made, the medical history and treatment process are inquired in detail, and the general examination and local examination are carried out carefully. If necessary, do vaginal secretion culture, drug sensitivity test or local pathological examination.

treat cordially

① General treatment: Pay attention to menstrual hygiene and keep vulva clean and dry. Don't scratch, wash with hot water and use soap. When infected, take a sitz bath with potassium permanganate solution. Underwear should be breathable and comfortable, and avoid alcohol and spicy or allergic food.

② Etiological treatment: Trichomonas vaginitis was washed with lead acetate solution or 3% boric acid solution, and then administered orally or vaginally. Metronidazole is taken orally, 0.2g each time, three times a day, for 7 days. Both husband and wife take it at the same time, and apply 0.2~0.4g each time to the vagina once a night, for 7 days, and repeat the above treatment 3 days after the next menstrual clean. Three consecutive tests are negative, which is regarded as cure. Sexual intercourse is forbidden during treatment, and no medicine is taken during menstruation. For fungal vaginitis, wash vulva with 4% soda water or 1/2000 bromogeramine solution, and then apply medicine. 4% clotrimazole ointment and mildew ointment are effective, and they are used continuously for 7 nights, and repeated 3 times after the next menstrual clean. Those who are negative for three consecutive leucorrhea tests are regarded as cured.

3 symptomatic treatment:

When acute inflammation is caused by external use, 1% resin alcohol or 1% rivanol solution can be used, or the vulva can be washed with Jieeryin or complex iodine, and 40% zinc oxide ointment can be applied after washing. Chronic itching can be wiped with dexamethasone emulsion.

Internal medicine can properly supplement vitamins b, c, a and e. Chlorpheniramine 4mg, 3 times a day. Menopausal patients were given 0.25 ~ 0.5 mg of ethoxine orally once a day 1 time, for a total of 10 days.

Wash Fructus Cnidii 15g, Radix Stemonae 15g, Cortex Albizziae 15g, Cortex Hibisci 15g, and Radix Sophorae Flavescentis 15g with water or take a sitz bath twice a day.