What to do for itchy vulva and what is the best cleaning method?

Dec 22, 2022 Source: Cainiu Health
Disease description:

Severe itching of the vulva, with a sensation of heat, redness, and slight swelling upon scratching; increased vaginal discharge. What should be done for vulvar itching?

Doctor's answer (1)
Dr. Zhao Xiaodong
When experiencing vulvar itching, it is essential to first identify the specific cause before selecting appropriate medication for standardized treatment. Typically, by examining the characteristics of vaginal discharge and assessing the condition of the vulvar skin during a physical examination, we can accurately determine the underlying cause. Most cases of vulvar itching are caused by gynecological conditions such as vaginitis, pelvic inflammatory disease, or cervicitis. In these instances, local cleansing and antimicrobial treatment with metronidazole and chlorhexidine lotion or sodium bicarbonate lotion may be recommended. If the itching is due to eczema, topical ointments with anti-inflammatory and antimicrobial properties—such as erythromycin ointment or ofloxacin ointment—are recommended. However, specific medications should be used strictly under a doctor's guidance to ensure safety and effectiveness. With scientific diagnosis and proper treatment, vulvar itching symptoms can be effectively relieved, promoting women's health.