Itching down below keeps me from sleeping.
Jun 05, 2023
Source: Cainiu Health
Dr. Liu Wan
Introduction
Itching so severe that it interferes with sleep may be caused by conditions such as bacterial vaginosis, trichomoniasis, or vulvovaginal candidiasis, and treatment should be based on the specific cause. These infections may be transmitted through sexual contact, leading to pathogen infection and inflammatory changes in the vaginal mucosa. The main symptom is external genital itching, which may be accompanied by a burning sensation. Treatment may include the use of clotrimazole or miconazole vaginal suppositories as directed by a healthcare provider.
The term "lower part" usually refers to the vulva. Vulvar itching severe enough to interfere with sleep may be caused by conditions such as bacterial vaginosis, trichomoniasis, or vulvovaginal candidiasis. Treatment depends on the specific cause. Detailed analysis is as follows:
1. Bacterial Vaginosis
This condition occurs due to changes in the vaginal environment leading to microbial imbalance. A large number of bacteria accumulate in the vagina, causing vulvar itching accompanied by thin vaginal discharge. As recommended by a physician, metronidazole vaginal gel or clindamycin cream can be used to reduce inflammation and relieve symptoms.
2. Trichomoniasis (Trichomonal Vaginitis)
This infection is often transmitted sexually, resulting in pathogenic microorganism infection and inflammatory changes in the vaginal mucosa. The main symptom is vulvar itching, which may be accompanied by a burning sensation. According to medical advice, oral metronidazole tablets or metronidazole vaginal effervescent tablets can be used for treatment.
3. Vulvovaginal Candidiasis
When the body's immunity decreases or tight synthetic fiber underwear is worn, excessive bacterial growth may occur, disrupting the normal microbial balance and leading to vulvar itching due to inflammatory irritation. Treatment may include intravaginal use of clotrimazole suppositories or miconazole suppositories as directed by a healthcare provider.
In addition, similar symptoms may also result from pubic lice, gonorrhea, dermatitis, or other conditions. Patients are advised to seek timely medical evaluation at a hospital to determine the exact cause and receive appropriate treatment.
