Itchy and Peeling Genital Skin: Causes and Treatments - Obstetrics and Gynecology

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Understanding itchy and peeling genital skin can be complex, especially when there are underlying conditions such as eczema. Based on your description, it sounds like you may be experiencing a combination of symptoms that could be attributed to several factors, including eczema, possible fungal infections, or irritant contact dermatitis.

Eczema, or atopic dermatitis, is a chronic inflammatory skin condition that can cause itchy, red, and flaky skin. It is not uncommon for individuals with a history of eczema to experience flare-ups in sensitive areas, such as the genital region, particularly when exposed to irritants or allergens. The presence of yellowish discharge could indicate a secondary infection, possibly fungal or bacterial, which can complicate the eczema and lead to increased itching and peeling.

The peeling white skin you mentioned could be a sign of several conditions. One possibility is a fungal infection, such as candidiasis, which is common in warm, moist areas of the body. This can lead to symptoms like itching, irritation, and a white, peeling appearance of the skin. Another possibility is that the skin is simply dry and irritated due to eczema, which can cause the skin to flake and peel.

When it comes to treatment, the first step is to maintain proper hygiene and moisture in the affected area. Using a gentle, fragrance-free cleanser and applying a suitable moisturizer can help soothe the skin and reduce dryness. Over-the-counter hydrocortisone cream may provide temporary relief from itching and inflammation, but it should be used sparingly and not for prolonged periods, especially in sensitive areas.

If you have already tried topical medications prescribed by a gynecologist without significant improvement, it may be beneficial to consult a dermatologist. Dermatologists specialize in skin conditions and can provide a more comprehensive evaluation of your symptoms. They may recommend a stronger topical steroid, antifungal medications if a fungal infection is suspected, or other treatments tailored to your specific condition.

In terms of prevention, avoiding known irritants is crucial. This includes using unscented personal care products, wearing breathable cotton underwear, and avoiding tight-fitting clothing that can trap moisture. Additionally, managing stress and maintaining a healthy lifestyle can help reduce the frequency of eczema flare-ups.

As for your inquiry about hospitals or clinics in Taichung, I recommend looking for a reputable dermatology department within a general hospital or a specialized skin clinic. Many hospitals have dermatology specialists who can provide targeted care for skin conditions, including those affecting sensitive areas.

In summary, while your symptoms may be related to eczema, the presence of discharge and peeling skin suggests that a secondary infection could be involved. A thorough evaluation by a dermatologist is essential for accurate diagnosis and effective treatment. In the meantime, focus on maintaining skin hydration and avoiding irritants to help manage your symptoms.