Skin Cracks and Itching in the Vulvar Area: Causes and Solutions

There are cracks in the skin in the area between the labia majora and labia minora?

Hello, doctor.
I have two questions to ask you.

1.
There are cracks in the skin of the area between the labia majora and labia minora, resembling a cut.
I usually wipe from front to back using a gentle pressing method after using the restroom.
The wound does not hurt when I go to the bathroom, but it stings during showers.
I visited a gynecology clinic, and they mentioned it might be due to improper wiping or an allergy, and they prescribed me an allergy cream, but there hasn't been much improvement.
2.
The areas with hair in my intimate region or the skin on the labia majora often feel very itchy.
The doctor also mentioned it could be an allergy and prescribed medication and ointment.
The oral medication has shown some improvement, but the ointment hasn't been effective.
I'm unsure how to proceed with further examinations since this is frequent.
Additionally, are there any supplements I should take regularly? Would this help reduce the discomfort?

Min Min, 30~39 year old female. Ask Date: 2019/08/30

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
There are cracks in the skin of the area between the labia majora and labia minora, resembling a cut.
After using the restroom, I usually wipe from front to back with gentle pressure.
The wound does not hurt when using the restroom, but it stings during bathing.
I visited a gynecologist who suggested that improper wiping or an allergy might be the cause and prescribed allergy medication for topical use, but there hasn't been much improvement.
2.
The areas with hair or the skin on the labia majora are very itchy.
The doctor also mentioned it could be an allergy and prescribed medication and ointment.
The oral medication has shown some improvement, but the ointment has not been effective.
I am unsure how to proceed with further examinations since this is frequent.

Answer: A physical examination is necessary.
Additionally, should I take any supplements on a regular basis? Would this help reduce discomfort?
Answer: There is no need to take any supplements.

Reply Date: 2019/08/30

More Info

Understanding skin issues in sensitive areas, such as the vulvar region, can be quite complex due to the delicate nature of the skin and the various factors that can contribute to discomfort. Based on your description, it seems you are experiencing two main issues: skin cracks in the vulvar area and persistent itching.

Skin Cracks in the Vulvar Area
The presence of cracks or fissures in the skin of the vulvar area can be attributed to several factors. Common causes include:
1. Irritation or Allergic Reactions: This can occur due to the use of harsh soaps, scented products, or even certain fabrics. If you have been using any new products, consider eliminating them to see if your symptoms improve.

2. Dryness: The vulvar area can become dry due to hormonal changes, particularly during menopause, or due to environmental factors. Dry skin can lead to cracking and discomfort.

3. Infections: Fungal infections, such as yeast infections, can cause irritation and cracking. Bacterial infections can also lead to similar symptoms.

4. Skin Conditions: Conditions like eczema or lichen sclerosus can affect the vulvar area, leading to dryness, itching, and cracking.

Itching in the Vulvar Area
Itching in the vulvar region can be caused by:
1. Allergic Reactions: As mentioned, products that come into contact with the skin can cause allergic reactions, leading to itching and discomfort.

2. Infections: Yeast infections and bacterial vaginosis are common culprits for vulvar itching. These conditions often come with additional symptoms, such as unusual discharge or odor.

3. Skin Conditions: Conditions like psoriasis or eczema can also cause itching and discomfort in the vulvar area.

Recommendations for Management
1. Gentle Hygiene Practices: Continue using gentle, unscented products for cleansing. Avoid douching or using perfumed products in the area, as these can exacerbate irritation.

2. Moisturization: Applying a hypoallergenic moisturizer can help alleviate dryness. Products specifically designed for sensitive areas are often beneficial.

3. Topical Treatments: If you have been prescribed topical medications, ensure you are using them as directed. If they are not effective, follow up with your healthcare provider for alternative options.

4. Diet and Supplements: While there is no specific diet that can prevent vulvar issues, maintaining a balanced diet rich in vitamins and minerals can support overall skin health. Omega-3 fatty acids, found in fish and flaxseed, may help with skin hydration.

5. Consult a Specialist: If your symptoms persist despite following these recommendations, it may be beneficial to consult a dermatologist or a gynecologist who specializes in vulvar health. They can perform a thorough examination and may recommend tests to rule out infections or other underlying conditions.

6. Avoid Irritants: Be mindful of clothing choices; wearing breathable, cotton underwear can help reduce irritation. Additionally, avoid tight-fitting clothing that may cause friction.

Conclusion
In summary, the issues you are experiencing with skin cracks and itching in the vulvar area could stem from a variety of causes, including irritation, dryness, infections, or skin conditions. Implementing gentle hygiene practices, moisturizing, and avoiding irritants can help alleviate symptoms. However, if your condition does not improve or worsens, seeking further evaluation from a healthcare professional is crucial for proper diagnosis and treatment.

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