Vulvar itching is one of the most common symptoms of gynecological diseases. Because the vulva is particularly sensitive, various gynecological diseases can cause vulvar itching, and patients are often upset and restless. Vulvar itching often occurs in the clitoris and labia minora, and may also affect the labia majora and other areas. There are many reasons for vulvar itching, among which gynecological inflammation is the most common cause. In addition to symptomatic treatment, you should also pay attention to the daily care of your private parts. 1. Causes 1. Chronic local irritation, irritation from abnormal secretions of vulva, vagina and cervix inflammation; 2. Unclean vulva and tight synthetic underwear, sanitary napkins, etc. lead to poor permeability; 3. Vulvar parasitic diseases, such as pubic lice, pinworms, scabies, etc.; 4. Various vulvar skin diseases and vulvar tumors, etc.; 5. Local vulvar symptoms of systemic diseases, such as diabetes, uremia, vitamin deficiency, etc. 2. Clinical manifestations Vulvar itching often occurs on the clitoris and labia minora, and may also affect the labia majora, perineum and perianal area. Most of the attacks are paroxysmal and are usually worse at night. If the itching is severe, skin scratches may be seen. 3. Examination and diagnosis examine 1. Examination of secretions; 2. Perform local tissue biopsy for pathological examination if necessary. diagnosis The diagnosis is made based on medical history, systemic and local examinations, laboratory tests of blood, urine, stool, and vaginal secretions, and necessary pathological examinations. IV. Treatment 1. Vulvar application Use anti-itching lotions and creams, such as calamine lotion, diphenhydramine ointment, cortisol ointment, etc. 2. Local blockade or acupoint injection Such as cortisol, vitamin B12, phenergan, etc. Treatment is directed at the cause. 5. Precautions for vulvar itching 1. Pay attention to your diet Try to eat less spicy and irritating foods. For example: onions, peppers, chili peppers, Sichuan peppercorns, mustard greens, and fennel. Avoid eating fried and greasy foods. Such as fried dough sticks, cream, butter, chocolate, etc., these foods help to increase moisture and heat, which will increase the secretion of leucorrhea and are not conducive to the treatment of the disease. 2. Life tips Keep the vulva clean and dry, especially during menstruation, pregnancy and postpartum period. Clean the vulva with care solution and change underwear every day. Do not wear synthetic underwear or tight pants, wear cotton underwear. When taking a local sitz bath, pay attention to the solution concentration, temperature, time, and precautions. People with vulvar itching should cut their nails and wash their hands frequently. Pay attention to personal hygiene. Maintain the body's resistance. 3. If the condition persists, check blood sugar Vulvar itching is one of the complications of diabetes. If vulvar itching does not heal for a long time, you should be alert to the possibility of diabetes and see a doctor to check your blood sugar level. 4. Pay attention to menstrual hygiene Patients with vulvar itching should pay attention to menstrual hygiene, change sanitary napkins frequently during menstruation, and keep their private parts clean. |
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