Vulvar Itching: Possible Causes and Solutions

Genital itching

Last June, I discovered I had genital warts and used a topical treatment for a week, after which I stopped.
The warts were located in the vulvar area and on the clitoris.
Later, it seemed like the warts had disappeared, but I still experience itching and a foul odor.
Sometimes, when I wipe after using the restroom with a bit of pressure, I notice a little blood, along with some skin tearing.
I also experience pain during intercourse.
I visited a hospital, and they said it wasn't genital warts.
I would like to know what other conditions it could possibly be.

Qingcai Xiangjiao, 30~39 year old female. Ask Date: 2021/05/07

Dr. Wu Xianghui reply Obstetrics and Gynecology

Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women.
The causes are varied, and treatment methods require comprehensive health education.
It is recommended to seek evaluation from a specialist in obstetrics and gynecology at an outpatient clinic.

Reply Date: 2021/05/07

More Info

Vulvar itching can be a distressing symptom and may arise from various underlying conditions. Given your history of genital warts (often referred to as "cauliflower" due to their appearance), it is essential to consider both the residual effects of that condition and other potential causes of your current symptoms.

Firstly, it is important to clarify that vulvar itching can stem from a variety of sources, including infections, skin conditions, and irritants. In your case, since you mentioned a history of genital warts, it is possible that you may be experiencing irritation or inflammation in the vulvar area, which can lead to itching and discomfort.
1. Residual Effects of Genital Warts: Even if the visible warts have resolved, the skin in that area may still be sensitive or inflamed. The human papillomavirus (HPV), which causes genital warts, can lead to changes in the skin that might result in itching or discomfort.
2. Infections: Vulvar itching can also be caused by infections such as yeast infections (candidiasis), bacterial vaginosis, or sexually transmitted infections (STIs) like herpes or trichomoniasis. These infections can cause symptoms such as itching, unusual discharge, and odor. The presence of a foul odor and bleeding when wiping could suggest an infection or another underlying issue.

3. Skin Conditions: Conditions such as lichen sclerosus or lichen planus can also cause vulvar itching and discomfort. These are inflammatory skin conditions that can lead to changes in the skin texture and may cause pain during intercourse.

4. Irritants: Sometimes, vulvar itching can result from irritants such as soaps, detergents, or personal hygiene products. If you have recently changed any products you use in that area, it might be worth considering whether they could be contributing to your symptoms.

5. Trauma or Injury: You mentioned experiencing slight bleeding and tearing during bowel movements. This could indicate that there is some trauma to the vulvar area, which can lead to inflammation and itching.
Given these possibilities, it is crucial to seek a thorough evaluation from a healthcare provider, preferably a gynecologist or a dermatologist specializing in vulvar conditions. They may perform a physical examination, take a detailed history, and possibly conduct tests to determine the exact cause of your symptoms.
In the meantime, here are some general recommendations that may help alleviate your symptoms:
- Avoid Irritants: Use mild, unscented soaps and avoid douching or using perfumed products in the genital area.

- Maintain Hygiene: Keep the area clean and dry. Wearing breathable cotton underwear can help reduce moisture and irritation.

- Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and itching, but consult your healthcare provider before using any topical treatments.

- Avoid Scratching: This can worsen irritation and lead to further injury or infection.

In conclusion, while vulvar itching can be caused by a variety of factors, it is essential to identify the underlying cause to receive appropriate treatment. Please consult with a healthcare professional for a proper diagnosis and tailored treatment plan.

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