Why is my vulva itchy and painful?

Itching and pain in the vulva may be related to vulvitis, vaginitis, allergic reactions, skin diseases, parasitic infections and other factors. Vulvar itching and pain are usually caused by pathogenic infection, local irritation, immune abnormalities, etc., and can be relieved by drug treatment, local care, etc.

1. Vulvitis

Vulvitis is an inflammation of the skin and mucous membrane of the vulva, which may be related to infection by bacterial, fungal and other pathogens. It usually presents with vulvar redness, swelling, itching, pain and other symptoms. Patients can follow the doctor's advice and use clotrimazole cream, erythromycin ointment, mupirocin ointment and other drugs for treatment. It is necessary to keep the vulva clean and dry on a daily basis and avoid scratching.

2. Vaginitis

Vaginitis is an inflammation of the vaginal mucosa and surrounding tissues, which may be related to bacterial, fungal or trichomonas infection. It is often accompanied by symptoms such as vulvar itching, burning, abnormal secretions and other symptoms. Patients can use metronidazole suppositories, miconazole nitrate suppositories, clindamycin phosphate vaginal tablets and other drugs as directed by their doctor. It is recommended to wear cotton underwear and avoid using harsh lotions.

3. Allergic reaction

Exposure of the vulva to allergens, such as sanitary napkins, underwear materials, detergents, etc., may cause local allergic reactions, manifesting as severe itching, stinging, and rash on the vulva. You can use loratadine tablets, dexamethasone cream, calamine lotion and other drugs as directed by your doctor to relieve symptoms. Avoid daily contact with suspected allergens and choose non-irritating care products.

4. Skin diseases

Skin diseases such as vulvar eczema and psoriasis may cause vulvar itching, pain, desquamation and other symptoms, and are usually related to immune abnormalities and genetic factors. Patients can use hydrocortisone cream, tacrolimus ointment, calcipotriol ointment and other drugs as directed by their doctor. Keep the area clean and avoid friction and excessive cleaning.

5. Parasitic infection

Parasitic infections such as pubic lice and scabies mites may cause severe itching of the vulva, worsening at night, and visible worms or eggs. Patients can use sulfur ointment, benzyl benzoate liniment, ivermectin tablets and other drugs for treatment as directed by the doctor. Clothing and bedding need to be thoroughly disinfected and avoid sharing personal items with others.

When your vulva is itchy and painful, you should avoid scratching it, wear loose and breathable cotton underwear, wash your vulva with warm water every day, and avoid using soap or shower gel. Eat a light diet and avoid spicy and irritating foods. If the symptoms persist or worsen, or are accompanied by abnormal secretions, ulcers and other symptoms, you should seek medical treatment promptly to determine the cause, and do not abuse drugs on your own. Sexual intercourse should be avoided during treatment, and partners should be examined and treated at the same time to prevent cross-infection.