What to do if you have vaginal itching

Vaginal itching is a common condition for many women. There are many reasons for this condition. It may be caused by some diseases, such as vulvitis, vulvar epithelial hyperplasia or vulvar lichen sclerosus. When this happens, girls need to pay special attention and take timely measures to treat it. Here is a detailed introduction on what to do with vaginal itching.

Treatment policy]

Treat the primary disease that causes vulvar itching; use topical or vaginal medications.

[Other treatments]

Treatment is directed at the cause:

1. Vulvitis

Always keep your vulva clean and dry, and do not wear synthetic underwear. Eliminate the source of irritation, avoid sexual intercourse during the acute phase, and get adequate rest. Wash the vulva or take a sitz bath with 1:5000 potassium permanganate solution 2 to 3 times a day. If there is an ulcer, you can use neomycin ointment or chlortetracycline ointment. Physical therapy such as ultrashort wave or microwave therapy can also be used, and Chinese medicine decoction and fumigation can also be used.

2. Vulvar epithelial cell hyperplasia

The treatment of this disease should first let the patient keep the vulva clean and dry, and prohibit the use of soap and other irritants to clean the vulva. Underwear should be made of cotton with good ventilation to avoid aggravating the condition. Avoid scratching the affected area with hands or instruments, and avoid spicy and irritating foods and allergenic foods.

(1) Sedative and anti-allergic treatment: For those who suffer from insomnia due to obvious mental stress symptoms, sedative, hypnotic and anti-allergic treatment can be used.

(2) Local medication: Topical treatment with corticosteroids is recommended to control itching. At the same time, add external medication for auxiliary treatment.

(3) Laser treatment: It can destroy the skin layer as deep as 2 mm, and at the same time destroy the nerve endings in the dermis, thereby alleviating itching symptoms.

(4) Surgical treatment: For patients who are ineffective with drug treatment or whose condition has become malignant, local lesion resection or simple vulvar resection can be performed, with regular follow-up after surgery.

3. Vulvar lichen sclerosus

General treatment is the same as for vulvar squamous cell hyperplasia. ① Local drug treatment: Apply 2% testosterone propionate cod liver oil ointment 3 to 4 times a day. ②Laser treatment: recurrence is possible.

[Prognosis]

With proper treatment, the prognosis is generally good.

[Drug treatment]

1. Vulvar application

Use anti-itching lotions and creams, such as calamine lotion, diphenhydramine ointment, cortisol ointment, etc.

2. Local blockade or acupoint injection

Such as cortisol, vitamin B12, phenergan, etc.

[Healing]

If vulvar pruritus is treated correctly and promptly, the prognosis is good.