Itchy Genitals: Causes and Concerns After Sexual Activity - Urology

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Genital itching


Two weeks ago, I had sexual intercourse with my boyfriend.
In the past few days, I've experienced itching in my vulva, particularly in the vaginal opening, along with many small, colorless bumps.
I've also noticed a little bleeding, similar to small broken skin or pimples.
Sometimes, after washing, my vulva feels a stinging sensation, but it goes away immediately after rinsing.
What could be the possible causes of this? Thank you.

Xiao Cao, 10~19 year old female. Ask Date: 2022/09/21

Dr. Du Shixi reply Urology


Hello: Please seek gynecological care, as it cannot be determined from the description.
Wishing you good health.

Reply Date: 2022/09/21

More Info


Itchy genitals after sexual activity can be concerning and may arise from a variety of causes. Based on your description, it sounds like you are experiencing symptoms that could be linked to several potential issues, including infections, irritations, or even allergic reactions. Here’s a breakdown of possible causes and recommendations for addressing your concerns.


Possible Causes
1. Infections:
- Yeast Infections: These are common and can cause itching, irritation, and sometimes a discharge. They can occur after sexual activity, especially if there is a change in the vaginal flora.

- Bacterial Vaginosis: This condition arises from an imbalance of bacteria in the vagina and can lead to itching and unusual discharge.

- Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or trichomoniasis, can cause itching, irritation, and lesions. The presence of small bumps and bleeding could indicate an STI, especially if you have had unprotected sex.

2. Irritation or Allergic Reactions:
- Irritation from Products: Soaps, lotions, or even laundry detergents can cause irritation. If you’ve recently changed any products, this could be a factor.

- Condoms or Lubricants: If you used condoms or lubricants during sexual activity, you might be allergic or sensitive to the materials or chemicals in these products.

3. Physical Trauma:
- Friction During Sex: Sometimes, vigorous sexual activity can cause micro-tears in the vaginal tissue, leading to bleeding and discomfort. This could explain the "small broken skin" appearance you mentioned.

4. Dermatological Conditions:
- Conditions like eczema or psoriasis can also affect the genital area, leading to itching and irritation.


Recommendations
1. Seek Medical Attention: Given the symptoms you are experiencing, it is crucial to consult a healthcare provider, preferably a gynecologist or a urologist. They can perform a physical examination and possibly take samples for testing to determine if an infection is present.

2. Avoid Irritants: Until you see a doctor, try to avoid any potential irritants. This includes scented soaps, bubble baths, and any products that may come into contact with the genital area. Opt for gentle, unscented products.

3. Maintain Hygiene: Keep the area clean and dry. After bathing, ensure that you dry the area thoroughly, as moisture can promote the growth of yeast and bacteria.

4. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased itching, discharge, or the appearance of new lesions. This information will be helpful for your healthcare provider.

5. Avoid Sexual Activity: Until you have been evaluated by a healthcare professional, it may be wise to refrain from sexual activity to prevent further irritation or potential transmission of an infection.


Conclusion
Itchy genitals after sexual activity can stem from various causes, including infections, irritations, or physical trauma. Given your symptoms, it is essential to seek medical evaluation to determine the underlying cause and receive appropriate treatment. In the meantime, avoiding irritants and maintaining good hygiene can help alleviate some discomfort. Remember, open communication with your healthcare provider is key to addressing your concerns effectively.

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