Why does my vulva itch?

Vulva is remarkable in the way it maintains a healthy balance of flora When this balance is upset, however, problems can arise, which can cause uncomfortable vulval itching and a variety of other symptoms such as discomfort, burning and pain.
In the majority of cases, vulval itching can be irritating, but not a cause for concern. However, if the itching is severe, persistent or if you have other symptoms, it is advisable to see a healthcare professional to get it checked out.
What Causes Vulvar Itching?
There are a number of causes that can produce vulval itching, including contact with irritants, infections, the menopause and stress. Occasionally it can indicate more serious concerns like vulval pre cancer (VIN) or vulval cancer. That’s why, vulval itching should not be ignored. The causes can usually be broken down into a number of categories:
- Vaginal candidiasis (Thrush)
- Bacterial vaginosis
- Sexually Transmitted Infections (STIs)
- Menopause
- Irritants- contact dermatitis
- Lichens Sclerosis, Lichen Planus
- Generalized skin conditions – eczema, psoriasis etc.,
- VIN – Pre cancer condition
Do I need to be examined for an itchy vulva?
Often, the gynaecologist will be able to find the cause of your itchy vulva (pruritus vulvae) after talking to you and examining you. Examination will probably involve your doctor looking at the skin of your vulva and may also involve an internal (vaginal) examination. They may need to ask you quite personal questions about your sex life and may then suggest that swabs should be taken from your vulva and/or vagina to look for infection.
The gynaecologist may need to examine your vulval skin in detail using a telescope called a vulvoscope. Taking a sample (biopsy) of the vulval skin may be suggested. Local anaesthetic cream or injection is used to numb the skin first so that it doesn’t hurt. The sample of skin is sent to be examined in a laboratory.
When should I see a doctor for an itchy vulva?
If you have an itchy vulva that is persisting, don’t be embarrassed.
We are experts in management of women’s health issues.
If you’re experiencing persistent vulval itch, please contact Rockingham Women’s Health Centre on 0895918943 to book an appointment or http://www.rockinghamwomenshealth.com.au