Relieving Itching and Redness in the Genital Area: A Guide

Genital itching and redness?

Hello Doctor: I have been troubled by itching in the genital area for a while.
At first, I didn't think much of it and would scratch whenever it itched, until I noticed a white patch appearing on the vulva (the hair follicle roots turned white), which prompted me to see a gynecologist.
The doctor diagnosed it as folliculitis.
I took medication twice and applied a strong anti-itch cream.
Although the white patch is gone, the genital area is still very red, feels rough to the touch, and has some peeling skin.
A few days ago, I couldn't resist scratching again and may have broken the skin.
I would like to ask the doctor what else I should do to improve my condition at this stage, as the vulva is still very red, and I'm unsure if just applying ointment will be sufficient.
Thank you, Doctor! (There are no abnormalities in my vaginal discharge, and I have not engaged in sexual intercourse.)

Niming, 20~29 year old female. Ask Date: 2017/08/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description of symptoms, it is likely related to prolonged inflammation and irritation.
It is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry.
Avoid tight-fitting clothing, and you may soak in a bath to alleviate symptoms.
If symptoms persist, please consult a physician for diagnosis and treatment.
Thank you! Wishing you peace and health.

Note: A physician cannot provide treatment, prescribe medication, or issue a diagnosis without a personal examination.

Reply Date: 2017/08/10

More Info

It sounds like you are experiencing a challenging situation with itching and redness in the genital area, which can be quite uncomfortable and distressing. Based on your description, it seems you may have a condition related to folliculitis, which is inflammation of the hair follicles, often caused by infection or irritation. The fact that you have noticed white patches and roughness, along with the redness, suggests that there may be an ongoing inflammatory process.

First and foremost, it is essential to avoid scratching the affected area, as this can exacerbate the irritation and lead to further complications, such as secondary infections or scarring. Since you mentioned that you have already seen a gynecologist and received treatment, it is crucial to follow their advice closely. Here are some additional steps you can take to help relieve the symptoms and promote healing:
1. Maintain Hygiene: Keep the genital area clean and dry. Use mild, unscented soap and avoid harsh soaps or body washes that can irritate the skin further. After bathing, gently pat the area dry with a clean towel.

2. Avoid Irritants: Stay away from products that may irritate the skin, such as scented lotions, powders, or feminine hygiene products. Opt for breathable cotton underwear and avoid tight-fitting clothing that can cause friction.

3. Topical Treatments: If you have been prescribed a topical corticosteroid or anti-itch cream, continue using it as directed. These medications can help reduce inflammation and itching. However, if you notice that the condition is not improving or is worsening, it is essential to follow up with your healthcare provider.

4. Moisturization: Consider using a gentle, hypoallergenic moisturizer to help soothe the skin. This can help reduce dryness and promote healing. Look for products that are free from fragrances and dyes.

5. Avoid Scratching: As difficult as it may be, try to avoid scratching the area. You might consider wearing loose-fitting clothing to minimize irritation and using cold compresses to alleviate itching.

6. Diet and Hydration: Ensure you are staying hydrated and maintaining a balanced diet. Sometimes, skin conditions can be exacerbated by dehydration or poor nutrition.

7. Follow-Up Care: Since you have already seen a doctor, it is crucial to keep them updated on your condition. If the redness persists or worsens, or if you develop new symptoms such as discharge or increased pain, return to your healthcare provider for further evaluation. They may consider additional treatments, such as oral antibiotics if an infection is suspected.

8. Consider Allergies or Sensitivities: Sometimes, skin reactions can be due to allergies or sensitivities to certain materials or products. If you suspect this might be the case, discuss it with your doctor, who may recommend allergy testing or suggest alternative products.

In summary, while topical treatments can be effective, it is essential to address the underlying causes of your symptoms and maintain proper care to promote healing. If you continue to experience discomfort, do not hesitate to seek further medical advice. Your health and comfort are paramount, and a healthcare professional can provide tailored recommendations based on your specific situation.

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