Itchy Pubic Hair: Causes, Symptoms, and When to See a Doctor

The area with long pubic hair may experience itching?

Hello Doctor, recently the area where I have pubic hair has been very itchy at times, and the skin in that area looks white and dry.
This happens occasionally every year, and sometimes I get painful bumps that resemble pimples, but they usually go away on their own after a while.
However, for the past few days, they haven't subsided and have even spread a bit.
The itching is so intense that I can't help but scratch.
I have increased vaginal discharge that appears clear and sometimes has a slight odor.
Occasionally, there is a small amount of thick yellow-green or sticky white discharge.
I would like to know what this situation might be.
I have a history of atopic dermatitis, have not engaged in sexual activity, and I wash the genital area very carefully with a gentle cleanser.
Should I see a doctor, or will it resolve on its own? The itching has been persistent, and sometimes I accidentally scratch and create small abrasions.
I'm hesitant about whether to see a doctor, but I'm also worried that I might be overreacting.
I hope you can provide some guidance.
Thank you.

Bu Bu, 20~29 year old female. Ask Date: 2016/11/24

Dr. Wu Yuxin reply Dermatology

It seems that you have multiple skin issues; it is advisable to consult a dermatologist for a proper diagnosis.
For excessive vaginal discharge, you should first see a gynecologist.

Reply Date: 2016/11/24

More Info

Itchy pubic hair and the surrounding skin can be a common concern, and it’s important to understand the potential causes, symptoms, and when to seek medical advice. Based on your description, it sounds like you are experiencing a combination of symptoms that could be related to several conditions.

Possible Causes
1. Irritation or Allergic Reaction: The white, dry patches you describe could be a sign of irritation or an allergic reaction to products you are using, such as soaps or detergents. This is particularly relevant since you mentioned using a specific wash for the area. Sometimes, even products labeled as gentle can cause irritation.

2. Folliculitis: The painful, pimple-like bumps you mentioned could be indicative of folliculitis, which is an inflammation of the hair follicles. This can occur due to bacterial or fungal infections, or even from irritation caused by shaving or tight clothing.

3. Eczema or Dermatitis: Given your history of atopic dermatitis (eczema), it’s possible that you are experiencing a flare-up in that area. Eczema can cause dry, itchy patches and can sometimes lead to secondary infections if the skin is broken from scratching.

4. Yeast Infection: The presence of a thick, yellow-green discharge and odor could suggest a yeast infection or bacterial vaginosis, especially if you are experiencing increased itching and irritation. These conditions can cause changes in discharge and are often accompanied by itching.

5. Sexually Transmitted Infections (STIs): While you mentioned that you have not engaged in sexual activity, it’s still important to consider that some infections can be asymptomatic or transmitted through non-sexual means. If there’s any chance of exposure, it’s worth discussing with a healthcare provider.

Symptoms to Monitor
- Itching: Persistent itching that leads to scratching can cause further irritation and potential infection.

- Discharge: Changes in the color, consistency, or odor of vaginal discharge can indicate an infection.

- Painful Bumps: If the bumps continue to grow or become more painful, this is a sign that medical evaluation is necessary.

- Skin Changes: Any new or worsening skin changes, such as redness, swelling, or the development of sores, should be assessed by a doctor.

When to See a Doctor
Given your symptoms, it would be advisable to see a healthcare provider, especially since the itching has persisted and you have noticed changes in your discharge. A doctor can perform a physical examination, possibly take a sample of the discharge, and provide a proper diagnosis. They can also recommend appropriate treatments, which may include topical medications for irritation, antifungal treatments for yeast infections, or antibiotics for bacterial infections.

Conclusion
While it’s understandable to feel hesitant about seeking medical attention, especially if you are concerned that it may not be serious, it’s always better to err on the side of caution when it comes to changes in your body. A healthcare provider can help alleviate your concerns, provide a proper diagnosis, and ensure that any underlying issues are addressed. Remember, taking care of your health is important, and seeking help is a proactive step towards maintaining your well-being.

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