Itching and burning pain of the vulva
Sep 09, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Itching and burning pain of the vulva may be caused by conditions such as vulvovaginal candidiasis, trichomonas vaginitis, bacterial vaginosis, senile vaginitis, or vulvar eczema. It is recommended to seek timely medical attention at a hospital, complete relevant examinations, identify the underlying cause, and receive targeted treatment under a doctor's guidance. During treatment, maintain cleanliness of the vulva and avoid consuming spicy or irritating foods to prevent worsening of symptoms.
Itching and burning pain in the vulva may be caused by conditions such as vulvovaginal candidiasis, trichomonas vaginitis, bacterial vaginosis, senile vaginitis (atrophic vaginitis), or vulvar eczema. It is recommended to seek treatment based on the underlying cause.
1. Vulvovaginal Candidiasis
This condition results from a Candida infection causing inflammation of the vagina and vulva, manifesting as increased vaginal discharge, vulvar itching, and burning pain. It is recommended to follow medical advice and use topical antifungal medications such as nystatin vaginal suppositories, miconazole suppositories, or clotrimazole suppositories to relieve symptoms. These medications have antifungal properties.
2. Trichomonas Vaginitis
Trichomonas vaginitis occurs due to infection with Trichomonas vaginalis, which causes inflammatory irritation to the vulvar skin, leading to symptoms such as vulvar itching, yellowish and foul-smelling discharge, and vulvar pain. Medications such as metronidazole tablets, tinidazole tablets, or ornidazole tablets can be used under medical guidance to improve the condition, providing anti-inflammatory effects.
3. Bacterial Vaginosis
Bacterial vaginosis results from bacterial infection disrupting the normal vaginal flora, leading to abnormal increase in vaginal discharge with a fishy odor. Pain may also occur during sexual intercourse. Treatment may include oral administration of clindamycin hydrochloride capsules, ciprofloxacin hydrochloride tablets, or levofloxacin hydrochloride capsules as directed by a physician, which exert antibacterial effects against anaerobic bacteria.
4. Senile Vaginitis (Atrophic Vaginitis)
Due to ovarian function decline, atrophic vaginitis may disrupt the acid-base balance within the vagina, reducing its resistance and leading to increased vaginal discharge, vulvar itching, and a burning sensation. Under medical supervision, topical treatments such as estriol cream, conjugated estrogens cream, or promestriene cream can be used to enhance the resistance of vaginal epithelial cells.
5. Vulvar Eczema
Vulvar eczema may result from allergen exposure or immune system abnormalities, triggering local inflammatory reactions in the skin. Inflammation can easily lead to symptoms such as vulvar itching, burning pain, and swelling. Under medical advice, topical corticosteroids such as desonide cream, fluticasone propionate cream, or mometasone furoate cream may be used to reduce inflammation and relieve itching.
It is recommended to seek timely medical evaluation, undergo necessary examinations to determine the exact cause, and receive targeted treatment under professional guidance. During treatment, maintain good vulvar hygiene and avoid spicy or irritating foods to prevent worsening of symptoms.
