and Managing Vaginal Itching: A Guide for Young Women - Obstetrics and Gynecology

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Genital itching


Hello Doctor: I am a middle school girl who has never engaged in sexual intercourse, but I occasionally masturbate, though not frequently.
Recently, I have been experiencing some redness, swelling, and itching around my labia and vaginal opening, along with some white discharge that resembles cottage cheese.
However, the color of my discharge is normal, and there is no unusual odor, just a slightly increased amount, with occasional yellowish tints or small red spots.
My menstrual cycle is still irregular since it just started not long ago.
When I experience itching, I sometimes try to resist it or scratch through my underwear.
Later, I wondered if it might be due to not cleaning properly, so I attempted to use saline solution and a cotton swab to clean, but it caused some stinging.
I am afraid to tell my family or ask them to take me to see a doctor because I worry they might think I am disgusting or that I have a boyfriend, so I would like to know if there are any methods I can use to manage this situation on my own.

XvMjbohZvo, 10~19 year old female. Ask Date: 2020/07/01

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your symptom description, it is more likely that you have contact dermatitis.
It is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry.
Avoid wearing tight-fitting clothing.
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, Dr.
Zhang.

Reply Date: 2020/07/01

More Info


Understanding and managing vaginal itching can be a sensitive topic, especially for young women who may feel embarrassed or unsure about discussing their symptoms. It’s important to recognize that experiencing discomfort, such as itching or irritation in the genital area, is not uncommon and can be caused by a variety of factors.
Based on your description, it sounds like you are experiencing symptoms that could be related to a few different conditions. The presence of redness, swelling, and a white discharge resembling "cottage cheese" could indicate a yeast infection, which is a common condition caused by an overgrowth of Candida, a type of fungus. Yeast infections can occur for various reasons, including hormonal changes, antibiotic use, or even wearing tight clothing that traps moisture.

Here are some steps you can take to manage your symptoms:
1. Maintain Good Hygiene: It’s essential to keep the genital area clean and dry. Use mild, unscented soap and warm water to wash the area, and avoid using douches or scented products, as these can disrupt the natural balance of bacteria and yeast.

2. Avoid Irritants: Certain products, such as scented soaps, bubble baths, and feminine hygiene sprays, can irritate the sensitive skin in the genital area. Opt for unscented products and avoid anything that may cause irritation.

3. Wear Breathable Clothing: Choose cotton underwear and avoid tight-fitting clothes to allow air circulation. This can help reduce moisture buildup, which is conducive to yeast growth.

4. Diet and Lifestyle: A balanced diet can help maintain your overall health. If you frequently experience yeast infections, consider reducing your sugar intake, as high sugar levels can promote yeast growth.

5. Over-the-Counter Treatments: If you suspect a yeast infection, over-the-counter antifungal treatments are available at pharmacies. These can be effective in treating mild infections. However, if symptoms persist or worsen, it’s crucial to seek medical advice.

6. Avoid Self-Diagnosis: While it’s tempting to self-diagnose based on symptoms, it’s important to consult a healthcare professional for an accurate diagnosis. Conditions like bacterial vaginosis or sexually transmitted infections (STIs) can present with similar symptoms and require different treatments.

7. Talk to a Trusted Adult: If you feel comfortable, consider discussing your symptoms with a trusted adult or healthcare provider. They can provide guidance and support without judgment. Remember, healthcare professionals are trained to handle such issues sensitively and confidentially.

8. Self-Examination: While it’s okay to be curious about your body, be cautious when attempting to clean or examine the area. Using cotton swabs or other objects can cause irritation or injury. If you feel discomfort while cleaning, it’s best to stop and consult a healthcare professional.

9. Monitor Your Symptoms: Keep track of your symptoms, including when they occur and any potential triggers. This information can be helpful for a healthcare provider in diagnosing the issue.

10. Seek Professional Help: If your symptoms do not improve with home care, or if you experience severe pain, unusual discharge, or other concerning symptoms, it’s important to see a healthcare provider. They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.

In conclusion, while it can be uncomfortable to discuss issues related to vaginal itching and irritation, it’s essential to prioritize your health and well-being. By maintaining good hygiene, avoiding irritants, and seeking professional advice when necessary, you can effectively manage your symptoms and ensure your reproductive health remains a priority. Remember, you are not alone in this, and there are resources available to help you navigate these concerns.

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