and Treating Vulvar Itching: Causes and Solutions

Genital itching

Hello, doctor.
Recently, I noticed an itchy sensation at the inner front of my labia majora.
After instinctively scratching, I found white flakes appearing in that area (similar to dandruff on the skin).
There is no redness, swelling, or pain around it, but the itching occurs frequently.
I would like to know how to address this issue.

——, 20~29 year old female. Ask Date: 2020/07/31

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is more likely that you are experiencing contact dermatitis or folliculitis.
It is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry.
Avoid wearing tight 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.
Chang

Reply Date: 2020/07/31

More Info

Vulvar itching can be a common issue and may arise from various causes. Understanding the underlying reasons for the itching is crucial for effective treatment. In your case, the presence of white flakes resembling dandruff, along with persistent itching but without redness or pain, suggests a few potential conditions.

One common cause of vulvar itching is a fungal infection, such as a yeast infection (candidiasis). This condition can lead to symptoms like itching, irritation, and the presence of white discharge or flakes. Another possibility is a condition known as lichen sclerosus, which can cause white patches on the vulva and may lead to itching and discomfort. Additionally, contact dermatitis due to irritants or allergens (such as soaps, detergents, or personal care products) can also cause itching and flaking.

To address the itching, here are some steps you can take:
1. Maintain Hygiene: Gently wash the area with mild, unscented soap and water. Avoid using harsh soaps, douches, or scented products that can irritate the vulvar area.

2. Avoid Irritants: Identify and avoid any potential irritants or allergens. This includes certain fabrics (like synthetic materials), personal care products, and laundry detergents.

3. Moisturize: If the skin appears dry, applying a fragrance-free moisturizer may help alleviate dryness and itching. Look for products specifically designed for sensitive skin.

4. Over-the-Counter Treatments: If you suspect a yeast infection, over-the-counter antifungal creams or suppositories may provide relief. However, it’s essential to confirm the diagnosis with a healthcare provider before starting treatment.

5. Topical Steroids: If the itching persists, a healthcare provider may prescribe a mild topical steroid to reduce inflammation and itching. This should be used under medical supervision.

6. Consult a Healthcare Provider: If the symptoms do not improve with home care, or if you notice any new symptoms (such as redness, swelling, or pain), it’s important to consult a healthcare provider. They can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis and treatment plan.

7. Dietary Considerations: While there are no specific dietary restrictions for vulvar itching, maintaining a balanced diet can support overall skin health. Staying hydrated and consuming foods rich in vitamins and minerals can be beneficial.

8. Follow-Up: If you receive treatment and your symptoms improve, it’s still a good idea to follow up with your healthcare provider to ensure the condition is fully resolved and to discuss any preventive measures.

In summary, vulvar itching can stem from various causes, and identifying the underlying issue is key to effective treatment. Maintaining good hygiene, avoiding irritants, and consulting a healthcare provider for persistent symptoms are essential steps in managing this condition. If you have any concerns or if the symptoms worsen, do not hesitate to seek medical advice.

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