Itchy and Irritated Vulvar Symptoms: Causes and Solutions

Intimate area issues?

In the past couple of days, I've been experiencing itching in my intimate area.
I initially thought it was just due to inadequate cleaning.
However, after taking a shower and looking in the mirror, I noticed that the entire labia minora is white, and I was able to scrape off a small amount of something that resembles cottage cheese, but the entire area is still white.
It looks very much like a burn that has turned white.
The whole genital area is very red and swollen, and it gets really itchy at night when I try to sleep.
I would like to know what this condition might be.

Ms. Chen, 20~29 year old female. Ask Date: 2022/02/20

Dr. Cai Yonglong reply Obstetrics and Gynecology

The milky white discharge is suspected to be a Candida fungal infection, and treatment may involve the use of vaginal suppositories or a visit to a gynecology clinic.

Reply Date: 2022/02/20

More Info

Itchy and irritated vulvar symptoms can be quite uncomfortable and concerning. Based on your description, it sounds like you may be experiencing a condition known as vulvovaginal candidiasis, commonly referred to as a yeast infection. This condition is characterized by itching, irritation, and a thick, white discharge that resembles cottage cheese. The redness and swelling you are experiencing, along with the white appearance of the labia, further support this possibility.

Yeast infections are caused by an overgrowth of Candida, a type of fungus that normally resides in the vagina in small amounts. Factors that can contribute to this overgrowth include antibiotic use, hormonal changes (such as those occurring during menstruation or pregnancy), a weakened immune system, and certain medical conditions like diabetes. Additionally, irritants such as scented soaps, bubble baths, or tight-fitting clothing can exacerbate the symptoms.

To address your symptoms, here are some recommendations:
1. Avoid Irritants: Refrain from using scented soaps, lotions, or feminine hygiene products that may irritate the vulvar area. Opt for mild, unscented products instead.

2. Keep the Area Dry: Yeast thrives in moist environments, so it's essential to keep the vulvar area dry. After bathing, gently pat the area dry with a clean towel.

3. Wear Loose Clothing: Tight clothing can trap moisture and heat, creating an environment conducive to yeast growth. Wear loose-fitting cotton underwear and clothing to allow for better airflow.

4. Consider Over-the-Counter Treatments: Antifungal creams or suppositories are available over-the-counter and can effectively treat yeast infections. Look for products containing clotrimazole or miconazole, and follow the instructions on the packaging.

5. Consult a Healthcare Provider: If your symptoms persist or worsen, it is crucial to seek medical advice. A healthcare provider can perform an examination and may take a sample to confirm the diagnosis. They can also rule out other potential causes of your symptoms, such as bacterial vaginosis or sexually transmitted infections (STIs), which may require different treatments.

6. Maintain Good Hygiene: Practice good hygiene by washing the vulvar area with mild soap and water, and avoid douching, as this can disrupt the natural balance of bacteria and yeast in the vagina.

7. Dietary Considerations: Some studies suggest that reducing sugar intake may help prevent yeast infections, as yeast feeds on sugar. Incorporating probiotics, such as yogurt with live cultures, may also help maintain a healthy balance of bacteria.

In summary, your symptoms suggest a possible yeast infection, but it's essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment. They can provide personalized recommendations based on your medical history and specific symptoms. Taking these steps can help alleviate your discomfort and promote healing.

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