Vulvar itching and leucorrhea examination is normal

Vulvar itching is a very common gynecological disease. The private parts are a relatively sensitive area. Various gynecological diseases and external irritation can cause itching, making people lose their appetite and feel uneasy. Vulvar itching mostly occurs in the clitoris and labia minora, and can also spread to the labia majora, perineum and around the anus.

1. Unique infections and poor living habits (65%):

Ignoring the cleaning of the private parts, sebaceous glands, sweat, menstruation, vaginal secretions, and even urine and feces, long-term irritation to the private parts can cause itching: using erasers or plastic menstrual belts during menstruation, and wearing synthetic underwear with poor breathability can all cause itching due to cold and dampness accumulation.

2. Systemic causes (10%):

Due to the irritation of diabetes to the private skin, especially in secondary fungal vulvitis, vulvar itching is very serious. Many patients first seek medical treatment due to vulvar itching and redness, and are diagnosed with diabetes after further examination. Unclear causes of vulvar itching Some patients have very severe vulvar itching, but no obvious systemic or local causes can be found. At present, many people believe that it may be related to mental or psychological factors.

3. Others (10%):

Chronic vulvar dystrophy is characterized by itching as the clinical symptom, accompanied by whitening of the private skin.

Drug allergies or chemical crystal irritants such as soaps, condoms, mercurochrome, etc. can cause contact dermatitis due to direct irritation or skin allergies, resulting in itchy symptoms.

Other skin diseases, abrasions, common warts, herpes, eczema, and tumors can all cause itching in the private parts.

How to check private itching

1. Private parts inspection

Inspection purpose: Whether the skin of the private parts is smooth, the color is normal, and whether there are ulcers, dermatitis, growths and decreased melanin. Normal private parts: Male pubic hair is pointed downwards and distributed in a triangular shape, the labia majora is pigmented, the labia minora is red, the clitoris is 2.5 cm long, and the mucosa around the urethral opening is light pink.

2. Check the vagina

Inspection purpose: Check whether the surface of the vaginal mucosa is smooth, whether the color is normal, whether there are blood spots, and whether the properties and taste of vaginal secretions are normal. Normal vagina: The vaginal mucosa is light pink and wrinkled, without ulcers, growths, cysts, or deformities. The secretion is egg white or milky white and sticky, without any fishy smell and in small amounts, but increases during ovulation and pregnancy. If you want to check vaginal discharge, the doctor will take a sample at this time.

How to treat private itching

1. Drug treatment

Anti-nitrosamine drugs: Traditional antihistamines such as chlorpheniramine (Chlorpheniramine), diphenhydramine, hydroxyzine (Atalo), cyproheptadine, etc. have sedative and antipruritic effects and can be used to treat this disease. Non-sedative antihistamines such as astemizole (Astemizole), loratadine, cetirizine, terfenadine, azatadine (Azatadine), etc., are also effective for itching all over the body.

Drugs such as vitamin Bl, vitamin C, sodium thiosulfate, oryzanol, bromine, iron supplements and sedatives can be selected and used according to the condition or used together with anti-nitrosamine drugs.

2. Sex hormone therapy

Elderly female patients with itching can take 0.5 mg of diethylstilbestrol, twice a day, or 10 mg of corpus luteum copper, intramuscular injection, once a day. For pruritus that worsens during menstruation, 10 mg of luteal copper can be injected intramuscularly 10 days before menstruation. 5 mg is injected intramuscularly 5 days before menstruation. If the menstrual period is irregular, 10 mg is injected intramuscularly on the 20th day after menarche, and 5 mg is injected intramuscularly again on the 25th day.

3. Blockade therapy

10-30 ml of 0.25% procaine hydrochloride, or 4-6 mg per kg of body weight per day, is added to 500 ml of saline or 5% glucose saline. Venous occlusion, once a day, 10 times as a course of treatment. A skin allergy test should be done before use and the entire process of use should be closely observed. Some patients may experience side effects such as anaphylactic shock.

4. Partial treatment

Local treatments are usually combined with systemic treatments, but can also be used independently to calm itching and moisturize the skin.