Treatment of occasional vulvar itching

Vulvar pruritus is a disease that is relatively difficult to treat, because after all, the recurrence rate of this disease is quite high. Even after recovery according to the treatment method, it can easily relapse. Therefore, it is necessary to change one's previous bad living habits to cooperate with the treatment, so that one can fully recover. Let us now learn about the treatment methods for vulvar pruritus.

Treatment should mainly be directed at the primary disease. Careful investigation of the cause and its eradication are the key to prevention and treatment. Pay attention to your regular life and keep the vulva clean and dry, wear loose clothes, bathe less frequently, use less soap, rub less, and avoid scratching and various stimuli. In addition, psychological treatment should be strengthened for those with unexplained vulvar itching and no local lesions.

1. Internal medication

(1) Antihistamines: Traditional antihistamines such as chlorpheniramine (Chlorpheniramine), diphenhydramine, hydroxyzine (Atalos), and cyproheptadine all have sedative and antipruritic effects and can be used to treat this disease. Non-sedating antihistamines such as astemizole (Astemizole), loratadine, cetirizine, terfenadine, azatadine (Azatadine), etc., also have certain effects on systemic itching. For patients with long course of illness, severe symptoms and poor therapeutic effect, combination of drugs can be used to improve the effect. H1-receptor antagonists can be used in combination with H2-receptor antagonists such as cimetidine (cimetidine) and ranitidine, which can sometimes improve the therapeutic effect.

(2) Vitamin B1, vitamin C, sodium thiosulfate, oryzanol, bromine, calcium and sedatives and hypnotics can be used according to the condition of the disease or used in combination with antihistamines.

(3) Sex hormone treatment: Female elderly patients with pruritus can take 0.5 mg of diethylstilbestrol, twice a day, or 10 mg of progesterone, injected intramuscularly, once a day. For pruritus that worsens during menstruation, 10 mg of progesterone can be injected intramuscularly 10 days before menstruation. Inject 5 mg intramuscularly 5 days before menstruation. If the menstrual period is irregular, inject 10 mg intramuscularly on the 20th day after menstruation, and inject 5 mg intramuscularly on the 25th day.

(4) Blockade therapy: 10-30 ml of 0.25% procaine hydrochloride, or 4-6 mg per kilogram of body weight per day, added to 500 ml of normal saline or 5% glucose saline. Venous blockade, once a day, 10 times as a course of treatment. A skin allergy test should be performed before application and close observation should be conducted during application as some patients may experience adverse reactions such as anaphylactic shock.

(5) When conventional antihistamines and other treatments are ineffective, the following drugs can be tried. See Table 2 for details.

2. Local therapy Local therapy is generally combined with systemic therapy, but can also be used alone. In principle, it can calm itching and moisturize the skin. 1% menthol, 2% to 5% camphor, 1%),

This article explains to us in detail the treatment of vulvar itching. Therefore, it is best to treat the complications that cause this disease and carefully look for the causes of the disease. Only in this way can we achieve a cure. This is the key to treatment.