Nowadays, there are more and more gynecological problems. This is because women's jobs tend to be easier and they like to sit in the office, which is relatively more comfortable than standing outside or walking for a long time. But at the same time, it will also have some effects on our body. When women feel uncomfortable and itchy down there, they should be careful that it may be chronic inflammation. Causes of symptoms (I) Chronic local irritation 1. Irritating vaginal discharge: such as Trichomonas vaginitis, fungal vaginitis, bacterial vaginitis, senile vaginitis, gonococcal vaginitis, mycoplasma, chlamydia infection, etc., are all common causes of vulvar itching. A small number of patients with cervicitis, cervical erosion, cervical polyps, normal pregnancy or pelvic tumors may suffer from vulvar itching due to excessive cervical or vaginal secretions. 2. Urine irritation: For example, the vulvar skin of patients with high acidity urine, pyuria, urinary incontinence, and vesicovaginal fistula is soaked in urine for a long time, or the anal itching caused by pinworm disease extends upward and causes vulvar itching. 3. Other local factors: such as poor maintenance of vulvar hygiene, especially in obese women, the vulva is often in a damp state, or the use of contraceptive membranes, condoms, lubricants and other material stimulations, as well as wearing synthetic underwear with poor breathability, or unclean underwear may become pathogenic factors. (B) Local symptoms of systemic diseases are caused by abnormal metabolic products caused by diabetic vulvitis, jaundice, uremia, leukemia, vitamin deficiency, malignant tumors, etc. that irritate the skin. Intrahepatic cholestasis of pregnancy may also cause itching of the skin all over the body, including the vulva. Vulvar pruritus occasionally occurs in patients with chronic constipation and may be due to hemorrhoids and chronic eczema of the vulva and anus. Systemic or local allergic reactions affecting the vulva can cause vulvar pruritus. Special attention should be paid to the fact that daily cleaning and cosmetic products can also cause vulvar allergic reactions.(III) Psychogenic vulvar pruritus Psychological factors or emotional fluctuations can induce or aggravate the itching sensation, which is called psychogenic vulvar pruritus. It can be divided into three categories: 1. Psychogenic vulvar pruritus without skin changes. 2. Psychogenic vulvar pruritus accompanied by skin changes. 3. Psychological factors increase the sensitivity of skin itching. (IV) Diseases originating in the vulva Local vulvar lesions such as common warts, herpes, eczema, condyloma acuminatum, vulvar squamous cell hyperplasia and lichen sclerosus, pubic lice, scabies, as well as vulvar tumors, vulvar varicose veins, systemic skin diseases such as psoriasis, neurodermatitis, and fungal skin infections such as tinea corporis and tinea cruris can all cause vulvar itching. |
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