It itches during menstruation.
Apr 18, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
"Having a period" usually refers to menstruation. Itching during menstruation typically involves the external genitalia (vulva). This is commonly caused by physiological factors, but may also result from pathological conditions such as vulvitis, vulvar eczema, bacterial vaginosis, or vulvovaginal candidiasis. It is advised not to scratch or irritate the area. If necessary, consult a gynecologist at a hospital for proper diagnosis and follow medical instructions strictly for treatment.
Menstruation, commonly referred to as a period, may sometimes be accompanied by itching, typically involving the external genitalia (vulva). This symptom is usually caused by physiological factors, although in some cases it may result from pathological conditions such as vulvitis or vulvar eczema. It is recommended to maintain proper care of the affected area and, if necessary, seek medical treatment under a doctor's guidance.
I. Physiological Factors
Poor personal hygiene during menstruation—such as failing to change sanitary pads regularly—can lead to poor local ventilation and moisture buildup, causing itching. Symptoms often improve or resolve by switching to appropriate sanitary products and maintaining cleanliness.
II. Pathological Factors
1. Vulvitis
Vulvitis is a common gynecological condition in clinical practice, often associated with physical or chemical irritation and infection by pathogenic microorganisms. Main symptoms include redness, swelling, warmth, itching, and burning pain. It is important to maintain good personal hygiene, frequently change and wash underwear and sanitary pads. If necessary, treat the underlying cause under medical supervision using oral medications such as levofloxacin hydrochloride capsules, ketoconazole capsules, or nystatin tablets, as prescribed.
2. Vulvar Eczema
Vulvar eczema is a common allergic and intensely itchy skin condition. The exact cause is not fully understood but is believed to involve a combination of internal and external factors, including abnormal immune function and impaired skin barrier. Affected areas may appear red and swollen or develop clusters of small papules, accompanied by severe itching. Treatment may include potassium permanganate sitz baths as directed by a physician, topical application of creams such as hydrocortisone butyrate or mometasone furoate, and, when necessary, oral antihistamines like olopatadine hydrochloride capsules or levocetirizine hydrochloride capsules.
In addition, bacterial vaginosis and vulvovaginal candidiasis are also common causes of vulvar itching. Avoid scratching to prevent skin damage. If symptoms persist, seek evaluation at a hospital’s gynecology department for accurate diagnosis and strictly follow medical advice for treatment.
