Itchy Labia: Causes and Remedies for Relief

Q: Itchy Labia: Causes and Remedies for Relief

Hello： (1) Before and after menstruation, the vaginal environment tends to become more alkaline, which is conducive to the proliferation of Candida albicans. <br>The usual cause is within the vagina, so antifungal medications should be used for treatment. <br>For the vulva, antif

Itching of the labia majora?

Hello, Doctor.
I experience intense itching of the labia before and after my menstrual period, sometimes to the point of sharp pain.
When I examine the area, I notice that both sides are red.
My gynecologist prescribed an antifungal cream, but the itching returns as soon as I stop using it, especially around my menstrual cycle when it becomes extremely bothersome.
Could you please explain why this happens? Are there any other treatments that could provide a permanent solution? Additionally, I've recently noticed a fishy odor in my discharge.
Will this resolve on its own? Thank you for your response.

Miss Lin, 20~29 year old female. Ask Date: 2015/11/10

Dr. Yang Wangjun reply Obstetrics and Gynecology

Hello: (1) Before and after menstruation, the vaginal environment tends to become more alkaline, which is conducive to the proliferation of Candida albicans.
The usual cause is within the vagina, so antifungal medications should be used for treatment.
For the vulva, antifungal and adrenal hormone ointments should be applied.
If this occurs repeatedly, vaginal probiotics can be supplemented (either orally or vaginally) to help restore the acidic environment of the vagina.
(2) Discharge with a fishy odor usually indicates the destruction of vaginal lactobacilli, leading to a more alkaline vaginal environment and the proliferation of other bacterial species, resulting in the secretion of ammonia compounds, which requires antibiotic treatment.
Thank you for your message!

Reply Date: 2015/11/10

More Info

Itchy labia can be a distressing symptom for many women, particularly when it occurs cyclically around the menstrual cycle. Understanding the underlying causes and exploring potential remedies is essential for effective management.

Causes of Itchy Labia
1. Hormonal Changes: The menstrual cycle involves fluctuations in hormone levels, particularly estrogen and progesterone. These hormonal changes can affect the vaginal environment, leading to dryness or irritation, which may result in itching.

2. Infections: Fungal infections, such as yeast infections, are common culprits of vaginal itching. These infections can cause redness, swelling, and a characteristic discharge that may have a cottage cheese-like appearance. Bacterial vaginosis, which can produce a fishy odor, is another potential cause. It occurs due to an imbalance in the normal bacterial flora of the vagina.

3. Allergic Reactions: Irritants such as soaps, detergents, fabric softeners, or personal hygiene products can lead to allergic reactions, resulting in itching and redness.
4. Skin Conditions: Conditions such as eczema or lichen sclerosus can also cause itching and irritation in the genital area. These conditions may require specific treatments beyond standard antifungal or antibacterial medications.

5. Sexually Transmitted Infections (STIs): Some STIs can cause itching and unusual discharge. If there is any concern about potential exposure, it is important to get tested.

Remedies and Management
1. Topical Treatments: While antifungal creams may provide temporary relief, they may not address the root cause if the itching is due to hormonal changes or other factors. It is crucial to follow up with your healthcare provider for a comprehensive evaluation.

2. Maintain Hygiene: Keeping the genital area clean and dry is essential. Use mild, unscented soaps and avoid douching, which can disrupt the natural flora of the vagina.

3. Moisturizers: If dryness is an issue, consider using vaginal moisturizers or lubricants, especially during intercourse or around menstruation.

4. Diet and Lifestyle: A balanced diet and adequate hydration can support overall vaginal health. Probiotics may also help maintain a healthy balance of vaginal flora.

5. Avoid Irritants: Identify and avoid any products that may be causing irritation. This includes scented products, harsh soaps, and tight-fitting clothing.

6. Consult a Specialist: If symptoms persist, it may be beneficial to consult a gynecologist or a dermatologist specializing in vulvar health. They can provide a more thorough examination and may recommend treatments such as corticosteroids for inflammatory conditions or other targeted therapies.

Regarding Fishy Odor
The presence of a fishy odor in vaginal discharge is often associated with bacterial vaginosis. This condition typically does not resolve on its own and may require antibiotic treatment. It is important to seek medical advice if you notice this symptom, especially if it is accompanied by itching or irritation.

Conclusion
In summary, itchy labia can arise from various causes, including hormonal changes, infections, allergic reactions, and skin conditions. While topical antifungal treatments may provide temporary relief, a comprehensive evaluation by a healthcare provider is crucial for effective management. Maintaining proper hygiene, avoiding irritants, and consulting with a specialist can help address the underlying issues and improve your quality of life. If you experience persistent symptoms or changes in discharge, do not hesitate to seek medical attention.

Similar Q&A

Relief for Itching in the Genital Area: Home Remedies and Tips

Recently, my sister has been experiencing itching in various areas, and it’s particularly bothersome at night when she’s trying to sleep. She really wants to avoid scratching, but the itchiness is so intense that she ends up scratching, which seems to have caused some irritation....

Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Vulvar itching may be caused by vaginal infections, such as candidiasis, trichomoniasis, and certain bacterial infections, which can lead to severe vulvar itching. This condition requires treatment of the underlying cause, specifically the internal vaginal infection. Addit...

Understanding and Managing Intense Vulvar Itching: Causes and Solutions

Recently, I've been experiencing frequent itching in the folds of the labia majora and labia minora, as well as the clitoris. The itching is unbearable, and scratching only makes it worse. I've tried applying Vaseline to relieve the itching, but sometimes it doesn'...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your symptom description, 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 tub while bathing to alleviate symptoms. If symptoms persist, please consu...

Understanding and Managing Labial Itching: Causes and Solutions

Today (June 21, 2022), around 12:00 PM, I experienced some itching in the labia minora, which led me to scratch the area. I then remembered that Vaseline has antibacterial properties, so I applied it. After some time, the left labium became swollen, approximately 2 to 3 times lar...

Dr. Cai Yonglong reply Obstetrics and Gynecology
Acute vulvitis should not be treated with petroleum jelly; instead, antifungal ointments and oral antifungal medications or analgesic anti-inflammatory drugs should be used (scratching may lead to secondary infections).

Understanding Itchy Labia: Causes and Home Remedies

During my menstrual period, I've been feeling itchy down there. I thought it was due to moisture, but the itching continued even after my period ended. When I checked, I noticed white spots resembling pimples near the vaginal opening, and the labia feel rough to the touch. I...

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 keep the perineal area clean and dry, avoid tight-fitting clothing, and consider soaking in a bath to alleviate symptoms. If symptoms per...