Irritation usually refers to pain, itching, or swelling in the vaginal area. It can affect any part of your vulva, including your labiaclitorisurethra, and vaginal opening. Folliculitis occurs when one or more hair follicles are inflamed or infected.
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Vulvovaginitis refers to a large variety of conditions that result in inflammation of the vulva and vagina. The causes may be infectious e. Physiologically, the normal vaginal flora mainly lactobacilli keeps pH levels of the vaginal fluids low, thus preventing the overgrowth of pathogenic and opportunistic organisms.
Vaginal yeast infectionalso known as candidal vulvovaginitis and vaginal thrushis excessive growth of yeast in the vagina that results in irritation. Vaginal yeast infections are due to excessive growth of Candida. Despite the lack of evidence, wearing cotton underwear and loose fitting clothing is often recommended as a preventative measure.
Community-based surveys indicate that about a fifth of women have significant vulval symptoms lasting over three months at some time in their lives. Common causes of itch or pain are dermatitis, recurrent candidiasis and the recently recognised pain syndromes — vulvar vestibular syndrome and dysaesthetic vulvodynia. Diagnosis is usually apparent after a thorough history and examination, although conditions commonly coexist and are complicated by prior treatment.
Vulvar pruritus is the most common symptom of skin disease. In evaluating vulvar pruritus, it is helpful to differentiate women with acute symptoms from those with chronic symptoms. Acute anogenital pruritus often is infectious, with allergic and irritant contact dermatitis playing a role in some cases.
Vaginal itching pruritusdischarge, or both result from infectious or noninfectious inflammation of the vaginal mucosa vaginitisoften with inflammation of the vulva vulvovaginitis. Symptoms may also include irritation, burning, erythema, and sometimes dysuria and dyspareunia. Symptoms of vaginitis are one of the most common gynecologic complaints. Some vaginal discharge is normal, particularly when estrogen levels are high.
This CKS topic covers the initial management of adult women presenting with the symptom of vulval itch pruritus vulvae. It contains advice on diagnosis and general symptomatic treatment for vulval conditions that present with itching. This CKS topic does not cover detailed information on the management of specific causes of pruritus vulvae.
Pruritus is a frequent symptom in many dermatological diseases. In this review we want to focus on not only itch problems specific to women, namely, pruritic vulvodermatoses, but also the specific pruritic dermatoses of pregnancy. The specific characteristics of the vulva and the hormonal changes during the different age periods make these dermatoses very particular. It seems that vulvar diseases are still underdiagnosed and undertreated.