Vulva itching at night

Vulvar itching is a common gynecological disease in women. The cause is mainly related to daily life. After we develop the disease, we must not only discover and treat it in time, but also strictly control it in life and choose some reasonable methods to slowly care for it, so as to achieve the effect of recovery, and do not wait until the disease worsens.

1. Systemic treatment of vulvar eczema

Treat the cause, keep the vulva clean, avoid scratching, get enough rest, and avoid eating foods that are prone to allergies. Antihistamines and other drugs can be taken orally.

(1) Antihistamines and other drugs

Diphenhydramine 25 mg, 3 times/d, orally. Chlorpheniramine (chlorpheniramine) 8 mg, 3 times/d, orally. For severe itching, 10 ml of 5% calcium bromide can be injected intravenously. Or intravenous injection of 10% calcium gluconate 10 ml, once a day.

(2) Vitamins

Large amounts of vitamin C can be given intravenously or orally, and B vitamins can be taken orally in conjunction with treatment.

Can be used for acute severe eczema. Prednisone, dexamethasone and other treatments can be given, which have a certain effect on eliminating inflammation, relieving itching and reducing exudate. Due to the high number of adverse reactions, care should be taken to control its use. It should not be used for chronic eczema in the elderly because it may relapse quickly after discontinuation of the drug and cause other adverse reactions.

2. Local treatment of vulvar eczema

(1) Acute phase

Local treatment is the main treatment. In the acute phase, use cold, wet compresses with saline. Apply zinc oxide ointment when erythema, blisters, and exudation are not obvious. When there is no exudate or pustules, 1% phenol-containing glycerin lotion can be used for external washing. When there is obvious exudation, 3% boric acid solution and 1:8000-1:5000 potassium manganate solution can be used for cold wet compresses. If erosion occurs, anti-inflammatory measures should be taken and compound copper sulfate solution should be used for external washing to prevent corrosion and astringency.

In case of secondary bacterial and fungal infections, corresponding antibacterial and antifungal ointments can be used, such as 0.5% neomycin ointment, 2% oxytetracycline and zinc oxide ointment, and wet compresses with 0.1% ethacridine (Rivanol) solution. In addition to wet compresses during the scabbing period, triamcinolone acetate (triamcinolone) cream, fluocinolone acetonide cream, etc. can be applied to astringe and relieve itching and keep dry.

When the eczema skin has mild infiltration, crusting, and desquamation, pastes and creams can be used. Various types of corticosteroid creams can also be used.

(3) Chronic stage

The treatment principles for chronic eczema are to relieve itching, inhibit epidermal cell proliferation, and promote the absorption of dermal inflammation. When the skin is thickened and infiltrated, apply flufenamic acid (flufenamic acid butyl ointment, Bute). You can also use 5% to 10% compound pine oil ointment, 2% borneol and corticosteroid ointment. Chronic and refractory cases can be treated with cryotherapy, radionuclide (32p) application, or superficial X-ray irradiation. If necessary, topical application of corticosteroids such as triamcinolone acetonide (triamcinolone) and urea ointment can increase the efficacy.