It itches during menstruation but not normally

Women's health has always been a concern of the world's health departments. Gynecological diseases seriously affect the health of every female friend. For example, during menstruation, some women feel itchy down there before each period, but it’s fine at other times. If you find such a phenomenon, you should go to the hospital for examination in time. Female friends should pay attention to hygiene in daily life and change their underwear in time.

Vulvar itching is a clinical symptom caused by various reasons. The cause is mostly the itching caused by a large amount of abnormal leucorrhea discharged from vaginitis caused by Trichomonas or fungal infection that stimulates the vulva.

Suggestions: It is recommended to go to a regular hospital for a pathogen test of the secretions, and treat the symptoms after a clear diagnosis. In addition, pay attention to hygiene, change underwear frequently, and take a bath frequently. Eat less spicy food and take appropriate vitamin supplements.

Symptoms of vaginitis:

Common symptoms: vulvar swelling, itching, burning sensation, urgency and pain during urination, increased vaginal discharge, abnormal vaginal discharge, and pain during sexual intercourse

Different types of vaginitis have different clinical manifestations, which are briefly introduced as follows:

Bacterial vaginosis

1. Symptoms: 10% to 50% of patients with this disease are asymptomatic. Those with symptoms often complain of grayish white leucorrhea with a fishy odor, vaginal burning and itching.

2. The secretions can be easily wiped off the vaginal wall, and the vaginal mucosa may not be congested or red and swollen.

3. Common complications occur simultaneously with gynecological cervicitis, pelvic inflammatory disease, and often with Trichomonas vaginitis. In addition, bacterial vaginosis during pregnancy can often cause adverse perinatal outcomes, such as chorioamnionitis, amniotic fluid infection, premature rupture of membranes, premature birth, and endometrial infection after cesarean section or vaginal delivery.

Trichomonas vaginitis

1. Trichomonas vaginitis is caused by Trichomonas vaginalis. The most common symptom is an increase in leucorrhea, which is yellow-green purulent, foamy, and has a special odor. It can be a thin serous fluid. Sometimes vaginitis is mixed with blood. 20% of leucorrhea contains foam. The vulva is itchy and in severe cases the leucorrhea may be mixed with blood. Burning and pain during sexual intercourse are also common. When the infection involves the urethra, there may be urinary pain, urgency, and even hematuria. Patients should pay attention to personal hygiene and avoid unclean sexual intercourse and cross infection.

2. Physical signs Examination of this disease may reveal congestion and edema of the vaginal and cervical mucosa, often with scattered red spots or strawberry-shaped protrusions, and a large amount of leucorrhea in the posterior fornix.

3. Common complications: Trichomonas can consume glycogen in the epithelium, change the pH value in the vagina, and hinder the growth of lactobacilli, so it is easy to cause secondary bacterial infection. At this time, the leucorrhea is grass green and has a foul odor.

Candidal vaginitis

1. Symptoms: The most common symptoms are excessive vaginal discharge, burning and itching of the vulva and vagina. It may affect the urethra and cause frequent urination. Symptoms such as urinary urgency and pain when urinating.

2. Physical signs: Typical leucorrhea is curd-like or flaky. The vagina and vaginal vestibule mucosa are highly edematous and covered with a white curd-like film, which is distributed in dots or sheets and is easy to peel off. Underneath is a damaged, flushed base, which may form ulcers or leave ecchymosis. In severe cases, the labia minora may swell and adhere. However, not all leucorrhea has the above typical characteristics. It can range from watery to curd-like leucorrhea. Some are completely thin and clear serous exudates, which often contain white flakes.

Menstrual vaginitis

It is mostly caused by not paying attention to menstrual hygiene during menstruation, especially using unclean menstrual products, which causes the vulva to be contaminated by unclean objects. Symptoms include a feeling of heaviness and burning in the perineum and increased vaginal discharge.