What should I do if I experience itching in the genital area during menstruation?

Jun 23, 2021 Source: Cainiu Health
Dr. Yan Ying
Introduction
1. Use sanitary napkins correctly: When purchasing sanitary napkins, opt for reputable brands and select products with a soft cotton surface, good breathability, and high absorbency. 2. Maintain menstrual hygiene: Change sanitary napkins frequently and wash the external genital area with warm water before bedtime. 3. Pharmacological treatment: For bacterial vaginosis, oral metronidazole may be prescribed; for candidal (yeast) vaginitis, oral fluconazole may be used.

Itchiness in the genital area during menstruation is often indicative of vaginitis—a condition caused by inflammatory irritation. During menstruation, menstrual blood provides an ideal culture medium for bacteria. When combined with the use of non-breathable sanitary pads, this environment further promotes bacterial growth and proliferation. So, what should one do if experiencing genital itchiness during menstruation? Below, we address this question.

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What to Do If Experiencing Genital Itchiness During Menstruation

1. Proper Use of Sanitary Pads

When selecting sanitary pads, opt for reputable brands featuring a soft cotton surface, high breathability, and strong absorbency—these qualities help reduce the risk of external genital itching. Additionally, once opened, store sanitary pads in a clean, dry cupboard, and aim to use them up within the same month. Avoid using pads that may have become contaminated.

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2. Maintain Menstrual Hygiene

During menstruation, change sanitary pads frequently—even when flow is light. At night, gently cleanse the external genital area with warm water. Cotton swabs, available at pharmacies, may be used for careful cleaning of the perineal region. Underwear should also be changed and washed regularly; choose 100% cotton, breathable styles. If severe itching occurs, over-the-counter anti-itch wet wipes designed for sensitive genital areas may provide temporary relief.

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3. Pharmacological Treatment

Topical application of anti-inflammatory, antipruritic ointments may help alleviate symptoms. For patients experiencing severe or persistent genital itching, vaginal discharge testing is recommended to identify the causative pathogen and guide targeted therapy. Generally, intravaginal medications are not advised during menstruation; instead, oral antimicrobial agents may be prescribed—for example, metronidazole for bacterial vaginosis or fluconazole for vulvovaginal candidiasis.

The above outlines practical approaches to managing genital itchiness during menstruation. We hope this information proves helpful.