What is the cause of dry and itchy vulva? What is the treatment?

Vulvar dryness and itching may be related to factors such as vaginitis, vulvar leukoplakia, decreased hormone levels, allergic reactions, dry skin, etc. It can be relieved by keeping clean, taking medication, moisturizing care, avoiding irritation, and adjusting diet. It is recommended to seek medical treatment promptly to clarify the cause of the disease and standardize treatment under the guidance of a doctor.

1. Vaginitis

Bacterial vaginosis or vulvovaginal candidiasis may cause vulvar dryness and itching, often accompanied by abnormal vaginal discharge or a burning sensation. You can use clotrimazole vaginal tablets, metronidazole suppositories, miconazole nitrate cream and other drugs as directed by your doctor. During treatment, you need to avoid sexual intercourse and wash your vulva with warm water every day.

2. White spots on vulva

Diseases such as vulvar lichen sclerosus can cause thinning, dry and itchy skin, and symptoms may worsen at night. Doctors may recommend the use of topical medications such as clobetasol propionate cream and tacrolimus ointment, which may be combined with phototherapy in severe cases. Wear cotton underwear to reduce friction and irritation.

3. Decreased hormone levels

The decrease in estrogen after menopause can easily lead to atrophy and dryness of the vulva, which may be accompanied by urinary discomfort. Estriol cream can be used for short-term topical hormone supplementation under the guidance of a doctor, and combined with vitamin E ointment for moisturizing. Phytoestrogen foods such as soy products can be supplemented in appropriate amounts.

4. Allergic reaction

Contact allergens such as sanitary napkins and shower gel may cause itching, redness and swelling. It is necessary to stop using allergenic products immediately, take oral loratadine tablets to relieve symptoms, and use topical calamine lotion to relieve itching. Choose unscented care products every day to avoid scratching the affected area.

5. Dry skin

Autumn and winter or excessive cleaning may cause damage to the vulvar skin barrier. It is recommended to use moisturizing cream containing ceramide, and the washing water temperature should not exceed 40 degrees Celsius. Increase drinking water appropriately and supplement foods such as carrots and spinach that are rich in vitamin A.

You should choose loose and breathable cotton underwear every day to avoid sitting in a humid environment for a long time. There is no need to use alkaline soap when cleaning the vulva. Pay attention to cleanliness before and after sex. If symptoms persist for more than 1 week or ulcers or abnormal discharge occur, you must see a gynecologist or dermatologist as soon as possible. Systemic diseases such as diabetes need to be investigated for long-term recurring attacks. Maintaining a regular schedule and a balanced diet during treatment will help recovery.