Vulval itch. (1/9)
BACKGROUND: Vulval itch is common. Patients presenting with this symptom can have a long history involving visits to several general practitioners. Self diagnosis as thrush is common, and inappropriate use of over-the-counter antifungal preparations can lead to further irritation and distress. Excoriation, rubbing, maceration, secondary infection and the effects of topical applications frequently complicate matters. OBJECTIVE: This article identifies the common causes of vulval itch in adults and children, and highlights key features of the diagnosis and management of these conditions. Vulval pain syndromes are beyond the scope of this article and are therefore not discussed. DISCUSSION: The cause of vulval itch can often be multifactorial, but with careful assessment, a primary diagnosis can be reached in most cases. A good history requires patience, and gentle direct questioning, as patients often feel uncomfortable discussing their problems and may not disclose self applied remedies. Care should be taken during examination, as vulval rashes may be subtle. All postpubertal patients should have a low vaginal swab to diagnose candidiasis rather than treating empirically. (+info)Chronic vulvovaginal pruritus treated successfully with GnRH analogue. (2/9)
A Medline search shows that this is the first reported case where vulvovaginal pruritus was treated successfully with a GnRH analogue. The report describes a patient with chronic premenstrual vulvovaginal pruritus thought to be attributable to autoimmune progesterone dermatitis. (+info)Determination of iron status in women attending genitourinary clinics with pruritus vulvae. (3/9)
OBJECTIVE: To compare iron status in women with pruritus vulvae and in asymptomatic controls. METHODS: 42 women with pruritus vulvae and 42 asymptomatic broadly age-matched controls were enrolled in this prospective study. The outcome measures assessed were serum iron, serum ferritin, total iron-binding capacity, haemoglobin and transferrin saturation. RESULTS: 12 (29%) participants and 10 (24%) controls were iron deficient; 1 (2%) participant and 1 (2%) control had laboratory-defined iron deficiency anaemia. Participants generally had lower levels of iron markers than controls, with differences (95% confidence interval (CI)) of -3.5 microg/l (-9.89 to 6.99) for serum ferritin (p = 0.73), -4.9 mmol/l (-8.12 to 0.12) for serum iron (p = 0.06) and -5.5 mmol/l (-5.75 to 1.46) for total iron-binding capacity (p = 0.24). No significant difference in haemoglobin or mean cell volume was shown between the two groups (haemoglobin: p = 0.17, 95% CI -0.83 to 0.15; mean cell volume: p = 0.15, 95% CI -4.59 to 0.73). CONCLUSION: This study does not provide evidence to support the routine determination of iron status in patients presenting to genitourinary medicine clinics with pruritus vulvae from all causes. (+info)Vulvar pruritus and burning sensation in women with psoriasis. (4/9)
(+info)Vulvar puritus for one year. (5/9)
A 60-year-old menopausal female presented with vulvar itching for one year. She had noticed a whitish lesion on the vulva that slowly increased in size over the year. She had been unsuccessfully treated with oral fluconazole and topical clotrimazole-mometasone combinations and the plaque had gradually spread to involve the clitoris and peri-urethral area. She was neither diabetic nor hypertensive and had no other systemic complaints. Examination revealed a well-defined non-tender whitish plaque situated on her left labia minora and clitoris (Figure 1). A swab from the plaque did not grow any organism. Routine blood chemistry including a VDRL and HIV ELIZA were within normal limits. A punch biopsy from the lesion was taken and histopathology findings were as seen in (Figures 2 and 3). (+info)The impact of the latest classification system of benign vulvar diseases on the management of women with chronic vulvar pruritus. (6/9)
(+info)Overview of treatment of vulvovaginal disease. (7/9)
Vulvovaginal diseases commonly are inadequately diagnosed and treated. Most are dermatologic, but can be atypical in presentation in the warm, moist genital area. There is limited training or education for medical caregivers for these conditions. The first step is correct diagnosis, which requires time and knowledge of the normal anatomy, and careful examination. Dermatologists are invaluable for management as they recognize skin problems and can correct barrier function, control inflammation, and address itching and pain. (+info)Vaginal microbial flora in normal young women. (8/9)
Vaginal swabs were taken from 1498 women attending a family planning clinic. The flora was assessed in the absence of any information about the women to whom the swabs related. Yeasts and fungi were present in 311 women (21%) and were no more prevalent among "pill" users than others. Candida albicans was significantly associated with vulval itching and with a vaginal discharge described as heavier than normal or curdy on clinical examination, though these abnormalities were present in only a minority of women with the organism. Trichomonas vaginalis was found in 14 women (1%) and was associated with abnormalities of vaginal discharge in all but one. Gram-negative anaerobic bacilli were significantly more common in women with a troublesome vaginal discharge and those who used an intrauterine device than others. No associations were found between fungi other than C albicans or the other bacteria sought and either symptoms or clinical abnormalities of vaginal discharge. (+info)Pruritus vulvae is a medical term used to describe the sensation of itching or irritation in the vulvar area, which is the external female genital region. This condition can have various causes, including dermatological issues (such as eczema, psoriasis, or contact dermatitis), infections (like candidiasis, bacterial vaginosis, or scabies), hormonal imbalances, menopause, or systemic diseases (such as diabetes, liver disorders, or kidney problems). In some cases, the cause of pruritus vulvae may remain undetermined even after a thorough evaluation.
The itching and irritation associated with pruritus vulvae can significantly impact a person's quality of life, causing discomfort, sleep disturbances, and emotional distress. Proper diagnosis and treatment typically require a consultation with a healthcare professional specializing in gynecology or dermatology, who will consider the patient's medical history, conduct a physical examination, and potentially order further tests to identify the underlying cause. Treatment options vary depending on the specific cause but may include topical creams, oral medications, lifestyle changes, or a combination of these approaches.
Pruritus is a medical term derived from Latin, in which "prurire" means "to itch." It refers to an unpleasant sensation on the skin that provokes the desire or reflex to scratch. This can be caused by various factors, such as skin conditions (e.g., dryness, eczema, psoriasis), systemic diseases (e.g., liver disease, kidney failure), nerve disorders, psychological conditions, or reactions to certain medications.
Pruritus can significantly affect a person's quality of life, leading to sleep disturbances, anxiety, and depression. Proper identification and management of the underlying cause are essential for effective treatment.
Pruritus vulvae
Vulva
Pruritus scroti
Pruritus ani
Grenz rays
Pruritus of genital organs
Lichen simplex chronicus
List of MeSH codes (C13)
List of MeSH codes (C17)
Gynecologic oncology
List of skin conditions
Darier's disease
Vulvar Crohn's disease
Extramammary Paget's disease
Dermatitis
Lichen planus
Mansonelliasis
Topical antifungal drugs
Human anus
Pinworm infection
Candidiasis
Pruritus vulvae - Wikipedia
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Inflammation of the vulva3
- Chronic inflammation of the vulva predisposes to the development of premalignant or malignant changes. (wikipedia.org)
- Vaginitis is infectious or noninfectious inflammation of the vaginal mucosa, sometimes with inflammation of the vulva. (merckmanuals.com)
- often with inflammation of the vulva (vulvovaginitis). (msdmanuals.com)
Irritation7
- Vulva irritation can be caused by any moisture left on the skin. (wikipedia.org)
- Treatment with antibiotics can lead to a yeast infection and irritation of the vulva. (wikipedia.org)
- The presence of objective signs of vulvar inflammation in the absence of vaginal pathogens, along with a minimal amount of discharge, suggests the possibility of mechanical or chemical irritation of the vulva. (cdc.gov)
- Itching/irritation of vulva (mons pubis. (mfine.co)
- Irritation, burning sensation, swelling of the vulva, discharge… The signs do not deceive by causing discomfort. (f3nws.com)
- It stings, it itches, it itches… A vulvar pruritus manifests itself in the form of irritation, which leads to unpleasant sensations and discomfort. (f3nws.com)
- Excessive washing, antiseptics, deodorants and douching (rinsing out the vagina) may irritate the vagina and vulva, potentially resulting in increased irritation and discharge from vulvitis, chemically-induced vaginitis or secondary infection. (co.zw)
Itching20
- Itching, redness, and swelling of the skin of the vagina and the surrounding area ( vulva ) is a common problem in girls before the age of puberty. (medlineplus.gov)
- Healthcare professionals refer to vulvar itching as pruritus vulvae. (medicalnewstoday.com)
- The Australian Menopause Society (AMS) also suggests washing the vulva with a diluted solution of baking soda to help relieve itching. (medicalnewstoday.com)
- Research indicates that vitamin E may help relieve itching in the vulva or vagina caused by atopic dermatitis or menopause. (medicalnewstoday.com)
- Some evidence suggests that applying a mixture of yogurt and honey to the vulva or inside the vagina can help treat fungal infections that may be responsible for vaginal itching. (medicalnewstoday.com)
- In rare cases, persistent itching on the vulva could be a sign of vulvar cancer , a type of cancer that forms on the external female genitalia. (medicalnewstoday.com)
- Pruritus ani is characterized by anal/perianal itching and/or burning. (5minuteconsult.com)
- Although often overlooked, itching of the vulva is very common. (f3nws.com)
- Itching of the vulva can initially result from improper use of toiletries. (f3nws.com)
- On the other hand, itching of the vulva can occur after sexual intercourse. (f3nws.com)
- This is manifested by itching of the vulva. (f3nws.com)
- bud-bau.de vulva (pruritus vulvae) is itching. (dejaturastro.com)
- excessive vaginal discharge - itching (pruritus vulvae) - pain and soreness. (co.zw)
- Some signs of vulvar cancer are skin changes in part of the vulva, a new bump, skin feeling thick or rough, itching, burning, an open sore, and new bleeding, spotting, or discharge from the vagina. (jobjaillady.com)
- Pruritus vulvae with hemorrhoids, severe itching in the vagina with swelling, redness during menses. (yourmedkart.com)
- Itching inside vulva: Itching of the vulva (pruritus vulvae) particularly common in female diabetics. (gakglobal.com)
- Keto Weight Loss Itching of the vulva (pruritus vulvae) will be common in female diabetics. (legal-outsource.com)
- Itching a vulva: Itching of the vulva (pruritus vulvae) highly common in female diabetes sufferers. (mup-ochistnye.ru)
- Itching a vulva: Itching of the vulva (pruritus vulvae) is fairly common in female people with diabates. (eb5blockchain.org)
- Persistent itching in the area of skin just outside the vagina (vulva) which causes distress. (mdpathyqa.com)
Vagina and vulva3
- Pat the outer vagina and vulva dry rather than rubbing it with tissue. (medlineplus.gov)
- Treatment for itchiness of the vagina and vulva will depend on the cause. (medicalnewstoday.com)
- Cancer of the cervix, vagina, and vulva. (cancer.gov)
Presenting symptoms1
- If patients are symptomatic, pruritus ani and pruritus vulvae are common presenting symptoms. (medscape.com)
Uterus1
- The genital canal in the female, extending from the UTERUS to the VULVA. (lookformedical.com)
Erythema2
Labia4
- The vulva is the external part of the female genitals, including the clitoris, the labia, and the opening of the vagina. (medicalnewstoday.com)
- The vulva is the area immediately external to the vagina, including the mons pubis, labia, clitoris, and Bartholin glands. (cancer.gov)
- Vulva refers to the external genetelia of the female, including the labia majora, labia minora, clitoris and vestibule of the vagina. (drtanandpartners.com)
- The cancer can appear anywhere on the vulva, although about three fourths arise primarily on the labia. (medscape.com)
Itch1
- The vagina, the vulva, or both can itch. (medicalnewstoday.com)
Vaginal Pruritus1
- Follow our advice to overcome vaginal pruritus. (f3nws.com)
Mons pubis1
- The vulva includes the mons pubis, clitoris, inner and outer lips of the vagina, and the openings of the urethra and vagina. (cancer.gov)
Clitoris1
- Sensations of constriction and feeling of enlargement are felt in various parts and organs of the body, limbs, vulva, clitoris etc. (emedicinehub.com)
Vulvar cancer1
- Long-term pruritus, lumps, or masses on the vulva are present in most patients with invasive vulvar cancer. (medscape.com)
Itchy2
- Sometimes, dry skin can lead to an itchy vulva. (medicalnewstoday.com)
- The most common cause of an itchy vulva is irritant contact dermatitis. (medicalnewstoday.com)
Infection3
- Secondary bacterial skin infection may develop from vigorous scratching to relieve pruritus. (medscape.com)
- 9 The typical clinical presentation is a rock-hard white nodule with associated pruritus that sometimes drains white chalky contents accompanied by secondary skin infection. (lww.com)
- Infection of the VULVA and VAGINA with a fungus of the genus CANDIDA. (lookformedical.com)
Cervix1
- Lloyd J, Evans DJ, Flanagan AM. Extension of extramammary Paget disease of the vulva to the cervix. (vgrd.org)
Candida2
- In most cases, it arrives to the heavy involving fungi pertaining to instance candida albicans around the vulva which now love the excess glucose deposit on the vulva. (legal-outsource.com)
- In most cases, it is born to the heavy regarding fungi for example candida albicans around the vulva which now appreciate the excess glucose deposit on the vulva. (mup-ochistnye.ru)
Lesion1
- These are further classified into low-grade squamous intraepithelial lesion of the vulva (vulvar LSIL), high-grade squamous intraepithelial lesion of the vulva (vulvar HSIL), and differentiated type VIN. (medscape.com)
Intraepithelial2
- This summary addresses squamous cell cancer of the vulva and vulvar intraepithelial neoplasias (VIN), some of which are thought to be precursors to invasive squamous cell cancers. (cancer.gov)
- These young patients tend to have early microcarcinomas, which may be associated with diffuse intraepithelial neoplasia of the vulva. (medscape.com)
Diagnosis1
- Pruritus ani: diagnosis and treatment. (5minuteconsult.com)
Vulval1
- Extramammary Paget disease of the vulva was found in association with vulval adenocarcinoma in an elderly woman who also had a uterine prolapse. (vgrd.org)
Scalp1
- 6-9 Cutaneous calcified epidermal cysts have been reported on the scrotum, vulva, scalp, subungual area, breast, and heel, but are most commonly located on the scrotum. (lww.com)
Perineum1
- frequent touching of the perineum or vagina, particularly in response to pruritus). (merckmanuals.com)
Occur2
- Because the vulva is covered with skin, any malignancy that appears elsewhere on the skin also can occur on the vulva. (medscape.com)
- Because the vulva is rich in lymphatics, metastasis to the inguinal lymph node can occur early in the process. (medscape.com)
Itchiness1
- Pruritus vulvae is itchiness of the vulva, which is the counterpart of pruritus scroti, and may have many different causes. (wikipedia.org)
Indications1
- Indications: Used in pruritis vulvae. (mfine.co)
Urination1
- And from a physiological point of view, the vulva is used for urination, childbirth and sexual intercourse. (f3nws.com)
Female1
- The vulva includes all of the female external genitalia. (f3nws.com)
Invasive1
- Invasive and preinvasive neoplasms of the vulva may be HPV-induced, and the carcinogenic effect may be widespread in the vulvar epithelium. (cancer.gov)
Soaps1
- Chemicals in bubble baths or soaps may cause inflammation and pruritus of the vulva, which often recur. (msdmanuals.com)
Evaluation1
- Histological evaluation is a prerequisite before planning definitive therapy for changes in the epithelium of the vulva, whether pigmentation, hypertrophy, or lump or mass occurs. (medscape.com)
Primary1
- Contribution to the NHS Clinical Knowledge on pruritus vulvae for primary care and first contact physicians. (bssvd.org)