Itchy White Discharge and Skin Irritation in Women - Obstetrics and Gynecology

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There is a white discharge from the genital area, and there is slight scratching that has broken the skin, resulting in a little bleeding?


Occasionally, there is a white discharge from the genital area, followed by itching, especially when preparing for sleep.
Recently, I have been scratching a lot, and last night, I noticed some bleeding when I went to the bathroom, which was slightly painful.
I want to apply an anti-itch cream, specifically one that is used for eczema, as my mother mentioned that it might help with the itching.
However, I am concerned about its use.
Should I apply it to my hands or to the genital area?

Yan Zi, 10~19 year old female. Ask Date: 2016/03/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, it is recommended that you consult a gynecologist for an examination and treatment based on your condition.
Please avoid applying medications indiscriminately.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2016/03/03

More Info


It sounds like you're experiencing some concerning symptoms related to itching and discharge in the genital area. It's important to understand that these symptoms can arise from a variety of conditions, and self-diagnosing or self-treating can sometimes lead to complications or worsening of the issue.
Firstly, the presence of white discharge accompanied by itching can indicate several potential conditions. Common causes include:
1. Yeast Infections: These are caused by an overgrowth of Candida, a type of fungus. Symptoms often include thick, white discharge that resembles cottage cheese, intense itching, and irritation.
2. Bacterial Vaginosis (BV): This condition occurs when there is an imbalance in the normal bacteria found in the vagina. Symptoms may include a thin, grayish-white discharge with a fishy odor, along with itching.

3. Contact Dermatitis: This is an allergic reaction to products such as soaps, detergents, or even certain fabrics. It can cause redness, itching, and irritation in the genital area.

4. Lichen Sclerosus: This is a chronic skin condition that can cause white patches, itching, and discomfort in the genital area. It is more common in postmenopausal women but can occur at any age.

5. Sexually Transmitted Infections (STIs): Certain STIs can also cause discharge and itching. It's crucial to rule these out, especially if you've had unprotected sex.

Given that you mentioned bleeding and pain when using the restroom, this could indicate a more serious issue, such as a tear or infection that requires medical attention. It’s essential to consult a healthcare provider who can perform a thorough examination, possibly including a pelvic exam and lab tests, to determine the exact cause of your symptoms.

Regarding the use of topical treatments, it's important to be cautious. If you have a history of eczema or dermatitis on your hands and are considering using a topical steroid cream for itching, you should not apply it to the genital area without consulting a doctor first. The skin in the genital area is sensitive, and inappropriate use of topical steroids can lead to thinning of the skin and other complications.

Instead, consider the following steps:
1. Avoid Irritants: Stop using any new soaps, lotions, or hygiene products that may have triggered the irritation. Opt for unscented, gentle products.

2. Maintain Hygiene: Keep the area clean and dry. Use mild soap and water, and avoid douching or using scented products.

3. Wear Loose Clothing: Tight clothing can exacerbate irritation. Opt for breathable fabrics like cotton.

4. Consult a Doctor: Given your symptoms, especially the bleeding and pain, it’s crucial to see a healthcare provider. They can prescribe appropriate treatments, such as antifungal medications for yeast infections or antibiotics for bacterial infections.

5. Avoid Self-Medicating: While it might be tempting to use over-the-counter treatments, it's best to wait for a professional diagnosis before starting any medication.

In summary, while it’s understandable to seek immediate relief for itching and discomfort, the best course of action is to consult with a healthcare professional. They can provide a proper diagnosis and treatment plan tailored to your specific needs, ensuring both safety and effectiveness in addressing your symptoms.

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