How to treat vulvar itching in young girls
Generally, vulvar itching in young girls may be caused by improper cleaning methods, clothing irritation, infantile vulvovaginitis, vulvar eczema, pinworm infection, and other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and improve symptoms under a doctor's guidance through general management, medication, and other treatments. Specific analyses are as follows:
1. Improper hygiene practices: Excessive cleaning or using irritating hygiene products can damage the protective barrier of the vulvar skin and mucosa, leading to itching. Clean the vulva gently with warm water once daily, washing only the external surface without douching inside the vagina. After washing, gently pat dry with a clean soft cloth.
2. Clothing irritation: Wearing tight synthetic underwear can cause poor ventilation and friction against the vulvar skin, resulting in localized itching. Switch to loose-fitting, breathable cotton underwear. Wash children’s undergarments separately and dry them in sunlight; avoid washing them together with adult clothes.
3. Infantile vulvovaginitis: The thin and delicate vulvar mucosa in young children is prone to bacterial infection, causing inflammation that manifests as redness, swelling, itching, and increased vaginal discharge. Follow medical advice for sitz baths with potassium permanganate solution, combined with topical application of medications such as erythromycin ointment, mupirocin ointment, or clindamycin phosphate gel.
4. Vulvar eczema: Eczema triggered by allergies or local moisture may present with red patches, papules, and intense itching on the vulva. Avoid known allergens and keep the vulvar area dry. Use calamine lotion as directed by a physician to relieve itching, along with topical corticosteroids such as hydrocortisone butyrate cream, desonide cream, or mometasone furoate cream.
5. Pinworm infection: When pinworms emerge from the anus to lay eggs, they irritate the vulvar skin, causing significant nighttime itching. Take medications such as albendazole tablets, mebendazole tablets, or pyrantel pamoate tablets as prescribed. Before bedtime, clean the perianal area and vulva, then apply zinc oxide ointment. Keep fingernails short to prevent scratching.
Maintain a light diet and reduce intake of sweets and spicy foods. Educate children to develop good hygiene habits, avoid touching the vulva with unwashed hands, regularly disinfect their clothes and bedding, and provide a clean, comfortable living environment for the child.
