How to solve vaginal itching

Nowadays, women's health is receiving more and more attention, but there are still various diseases plaguing the vast majority of female compatriots. Many friends have mentioned that they suffer from unbearable itching in their genitals. So what kind of disease is this, is it serious, and how to solve this problem? So please follow the text to learn knowledge, master skills and apply them to life, to help more friends in need. Okay, then please open your eyes and let's start today's topic.

When it comes to vulvar itching, many people think it is vulvovaginal candidiasis. In fact, in addition to this disease, there are many gynecological and dermatological diseases that can also cause vulvar itching. Common diseases that can cause vulvar itching in women include:

The subjective symptoms of vulvovaginal candidiasis include vulvovaginal itching and burning sensation, which are particularly obvious during urination. There may be frequent urination, dysuria and dyspareunia. The rash manifests as redness and swelling of the inner labia minora and vaginal mucosa with a white pseudomembrane. After the membrane is removed, erosion or superficial ulcers appear. In severe cases, the labia minora are highly edematous. Vulvar itching and curd-like leucorrhea are the prominent features of this disease. Microscopic examination of leucorrhea fungi revealed Gram-positive blastospores and pseudohyphae.

Patients with vaginal trichomoniasis will experience severe itching of the vulva and vagina, a crawling sensation, occasional burning and pain, increased leucorrhea, which is grayish yellow and foamy, and a strawberry-like appearance of the vaginal and cervical mucosa. Direct microscopic examination of leucorrhea (wet mount or hanging drop method) can detect Trichomonas vaginalis.

The severity of vulvar itching caused by gonorrhea varies, and is mostly caused by abnormal and increased vaginal discharge that irritates the local skin and mucous membranes. Urinary tract infection causes frequent urination, painful urination, and a burning sensation during urination, redness and swelling of the urethral opening, and a small amount of purulent secretions. Cervical infection causes yellow-green purulent secretions with an odor, redness, swelling, erosion, and tenderness of the cervix. Bartholin's gland infection causes redness, swelling, and pain at the gland opening, and in severe cases, an abscess may form. According to statistics, more than 60% of female gonorrhea patients have mild symptoms or no symptoms, but they are an important source of infection and should be actively treated. Combined with gonorrhea culture can confirm the diagnosis.

Non-gonococcal urethritis is a sexually transmitted disease caused by Chlamydia trachomatis and Ureaplasma urealyticum. Many female patients have no obvious symptoms. A small number of patients sought medical treatment due to increased leucorrhea and vulvar itching. The uterus is the main site of infection. Patients have no obvious signs of urinary tract irritation. Cervical edema, redness, erosion, and hypertrophic follicles on the surface are unique symptoms of this disease. Chlamydia trachomatis infection can be diagnosed based on medical history and Chlamydia antigen detection or cell culture; Mycoplasma infection can be diagnosed based on medical history and the culture of "fried egg"-like colonies.

Genital warts cause nipple-like, cauliflower-like or cockscomb-like growths on the vulva. Most patients do not have any symptoms, and only a small number of patients experience vulvar itching, burning pain, and increased vaginal discharge. It is estimated that the warts themselves may stimulate the surrounding tissue mucosa, or that the itching may be caused by increased vaginal discharge after combined gonorrhea or non-gonococcal urethritis. The diagnosis can be confirmed based on clinical and pathological examinations.

Most patients with pubic lice have a history of unclean sexual intercourse. The subjective symptoms are severe itching of the vulva, especially at night; the pubic hair-covered area is scratched, leaving scratches and blood scabs, which become eczematous and may lead to folliculitis. The patient's underwear may be attached with a large number of rust-colored insect eggs and blood scabs. Pubic lice can be combed off the pubic hair with a fine comb, and the diagnosis can be confirmed by placing the pubic lice on a piece of white paper and seeing them moving. Direct microscopic examination to find adult pubic lice or eggs can also be used to confirm the diagnosis.

Patients with molluscum contagiosum will experience mild itching in the genitals, and will develop millet-sized hemispherical papules on the genitals. The larger ones are shaped like mung beans or peas, with a central depression like an umbilicus. If the top is pricked, a cheese-like substance can be squeezed out. These are molluscum bodies. The rash is scattered and may also occur on the abdomen, scapula, and inner thigh. Some patients have a history of unclean sexual intercourse.

Vulvar eczema, neurodermatitis, and pruritus. The vulva is severely itchy, and the vulvar skin or mucosa is thickened and lichenified. Patients with eczema may have erythema, papules, and blisters. A small number of localized vulvar pruritus are caused by diabetes, and the primary disease should be treated actively.

In lichen planus, 0.3-0.5 cm purple-red annular lesions can be seen on the inner side of the labia majora and minora, vagina, and cervix, accompanied by erosion, ulcers, and subjective pain. Purple-red polygonal flat papules with waxy luster, white reticular patterns (Wickham patterns), and varying degrees of itching are common on the limbs. Combined with biopsy, the diagnosis can be confirmed.

The vulva is obviously itchy due to leukoplakia, and milky white or grayish white patches or plaques appear with clear borders. It often occurs in postmenopausal women, and is prone to occur on the inner side of the clitoris, labia majora, and labia minora. The diagnosis can be confirmed by combined pathological examination. Vulvar leukoplakia is a precancerous lesion with a canceration rate of 4% to 10% and should be treated actively.

Vulvar lichen sclerosus atrophicus is a pale white lesion with clear boundaries of the vulva and perianal area. In the late stage, the labia and clitoris atrophy, the vagina may be narrow, and sometimes the white atrophy in the anus and vulva can form a special "dumbbell" shape. Conscious itching, burning sensation, and occasional pain.

Fixed vulvar drug eruption often occurs on the labia majora and minora. It first causes local itching and burning sensation, followed by the appearance of round or oval edematous dark purple-red macules. Bullae may appear in the center, with a diameter of 1 to 2 cm, clear borders, and a clear history of medication. If the allergenic drug is taken again, a larger rash will occur at the primary site, and new rashes may also appear in other sites. The more attacks occur, the darker the rash becomes and the harder it is to fade. After stopping the medication, the rash may disappear in 1 to 2 weeks, leaving gray-brown pigmentation spots after healing.

Vulvar Paget's disease, also known as vulvar eczematoid carcinoma, is more common in patients aged 40 to 60 years old and is rare in patients under 40 years old. The skin lesions are red patches with clear boundaries on the vulva, with exudate, crusting or keratinization and desquamation on the surface, which gradually expand to the surrounding areas. After several months or years, infiltrative red patches or plaques are formed, showing eczema-like changes. In severe cases, ulcers may form, often accompanied by vulvar itching. Vulvar Paget's disease is often complicated by cervical cancer and can be diagnosed based on clinical manifestations and histopathological examination.

Having said so much, it is mainly caused by bacterial infection. This tells us that we must develop good living habits, use public toilets with caution, and pay attention to personal hygiene. I believe that if everyone can keep themselves clean, they can reduce the occurrence of diseases. Finally, I hope everyone can gain something and have a healthy body to study and work.