Itchy vulva refers to an uncomfortable sensation or irritation in the external genital area, including the labia, clitoris, and vaginal opening. This itching can be persistent or intermittent and may be accompanied by redness, swelling, or a rash. The causes of itchy vulva are diverse and can include infections such as yeast infections (candidiasis), which often lead to itching, discharge, and a characteristic cottage cheese-like appearance. Bacterial infections, such as bacterial vaginosis, can also cause itching, along with an abnormal discharge and odor. Sexually transmitted infections (STIs) like trichomoniasis or genital herpes can present with itching as well. Allergic reactions or irritants, such as those from soaps, detergents, or scented hygiene products, can lead to contact dermatitis, causing localized itching and irritation. Skin conditions like eczema or psoriasis can affect the vulva, leading to itching and scaling. Hormonal changes, especially during menopause, can cause vaginal dryness and itching due to decreased estrogen levels. Treatment for itchy vulva depends on the underlying cause. For yeast infections, antifungal creams or oral medications are typically effective. Bacterial infections are treated with antibiotics, while STIs require specific treatments depending on the pathogen. Avoiding irritants and using gentle, unscented products can help manage contact dermatitis. Hormonal treatments or vaginal moisturizers can alleviate itching due to dryness from menopause. Consulting a healthcare provider for an accurate diagnosis is essential, especially if the itching is severe, persistent, or associated with other symptoms such as unusual discharge or bleeding, to ensure appropriate treatment and relief.
