It can start as a stab in your lower regions while you are in a meeting, in a restaurant or during the longest wedding in the world. Change position in your seat and take a deep breath assuming it will happen quickly, but it is not so convenient. Instead, the stab progresses to an itch and then the itch intensifies until it is almost ardently painful. Your eyes begin to cry, while you desperately look for a way out and start fantasizing with the sweet relief that your crotch would scratch if you weren’t in public.
What makes the vagina itch (and how can it make it go away)?
Lifetime
If you feel a twinge from time to time, it is most likely not important. The vagina can be irritated with a new soap and fabric softener. Your new jeans, leggings or thong may be rubbing the wrong way. Condoms, or simply the friction of sex, can make you feel itchy after intercourse. Lip skin can also be sensitive to climatic changes, just like elbows don’t like winter, sometimes vulva either. If the itching is random or minor, check your detergents and make sure nothing has changed. Switch to cotton underwear and baggy clothes for a few days. If your symptoms improve with an easy solution, then you don’t need to worry.
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Infection
A tearing yeast infection is probably the most common and intense cause of vaginal itching. While yeast infections can cause a thick, curd-like vaginal discharge, sometimes the only symptom is itching. A yeast infection will often cause the skin on the lips and the groin tissue to become soiled, irritated and red. Another common vaginal infection that can cause itching is bacterial vaginosis (BV). BV is often associated with a gray discharge and fishy smell. It usually has no external redness and itching is usually more irritating than the intense itching of yeast infection.
BV requires a trip to the doctor to get prescription antibiotics. Fungal infections can often be resolved with over-the-counter treatments, but more serious fungal infections do not always respond. So, if your symptoms do not improve with easy treatments, follow up with your doctor.
Hemorrhoids
You probably know that hemorrhoids are not found in the vagina, but your vagina and rectum are 1 to 2 inches apart, and sometimes it’s hard to know exactly where that itch comes from. I often see women who come complaining about vaginal itching, but the itching actually comes from “further south.” Some have hemorrhoids, others have “anal itching” (elegant medical term for itchy back). Regardless, the treatment is the increase in fiber creams and hemorrhoids. If the itching does not improve, follow up with a gastroenterologist.
Skin conditions
“Lichen sclerosis” is a chronic skin condition that causes the skin of the lips to itch and burn. The affected skin will turn pale or white and appear thinner than the surrounding skin. Lichen sclerosis is more common after menopause, but it can be seen at any age. While it is a chronic condition, symptoms can be treated with topical steroids or laser treatments. Less common skin conditions that cause chronic itching include psoriasis or lichen planus. A simple biopsy in the office can determine if there is a chronic skin condition.
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Menopause
Vaginal tissue is very sensitive to estrogen, so when estrogen levels begin to plummet during menopause, the vagina can be affected. As blood flow decreases, vaginal skin becomes significantly thinner and causes vaginal atrophy. In some women, this can cause pain with sexual intercourse and also irritation and burning. It can also make the tissue more prone to infections and chronic skin changes like those mentioned above. The first step in the treatment of vaginal atrophy is to use lubrication with coitus and a vaginal moisturizer for daily itching. These are available without a prescription, but coconut oil also works well for both. There are also many prescription treatments available for menopause vaginal atrophy.
Cancer
Vulvar cancer can sometimes present as a persistent itching. Usually, changes in the skin also occur as warty bumps in the form of cauliflower or flat and brown discolorations. There are many causes of vulvar itching, and most of the time it is not cancer, but if you notice a lump or discoloration that does not go away, you should definitely visit your provider to see if you need a biopsy.
If you are struggling with persistent vaginal itching, then take the mirror out of your hand and see what happens there. If everything is clear, you can try changing your detergent to one without dyes or fragrance, skipping the dryer sheets in your underwear and trying on looser clothes for a few days. If you notice any bumps or discoloration, then you should go to your document immediately.
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Tags: Vaginal Health, bacterial vaginosis, itch, itching, women’s health, yeast infection, Vaginal Itching, Symptoms, Causes & Treatment
