What causes itching at the vaginal opening?
Vaginal itching is commonly caused by factors such as sexual activity, menstruation, allergies, trichomoniasis, and candidiasis. If abnormal symptoms occur, it is recommended to seek medical attention promptly. Detailed analysis is as follows:
1. Sexual Activity
During sexual activity, the vaginal mucosa may become damaged due to friction, especially when there is insufficient lubrication, which can lead to minor local injuries and subsequent itching. Ensure adequate lubrication during intercourse and use water-based lubricants to reduce friction.
2. Menstruation
Fluctuations in estrogen and progesterone levels during menstruation may alter the vaginal pH, disrupting the balance of vaginal microflora and causing mild itching. Maintain good personal hygiene, use gentle, fragrance-free cleansing products, and avoid using irritating sanitary pads or liners.
3. Allergies
Allergic reactions to substances such as detergents or sanitary products can cause itching at the vaginal opening. Symptoms often include localized redness, papules, and, in severe cases, blister formation. In such cases, avoid contact with the allergen. Antiallergy medications such as loratadine tablets, ebastine tablets, or montelukast sodium tablets may be used under medical guidance.
4. Trichomoniasis
This vaginal infection is caused by the parasite Trichomonas vaginalis and manifests as vaginal itching, yellow-green frothy discharge, along with symptoms such as external genital burning sensation and pain during intercourse. Treatment should be guided by a physician using medications such as metronidazole suppositories, dual-azole suppositories, or Baofukang suppositories to eliminate the parasite and relieve inflammation.
5. Candidiasis
Poor hygiene in the genital area can lead to overgrowth of Candida near the vagina, resulting in inflammatory reactions and itching. Additional symptoms may include swelling, redness, and abnormal discharge. Treatment options, under medical supervision, include clotrimazole cream, ketoconazole cream, itraconazole capsules, and terbinafine hydrochloride tablets.
It is recommended to maintain proper local hygiene, avoid excessive cleaning, wear breathable underwear, and take proactive steps to support overall vaginal health.