Itching of the labia is a specific reaction of the skin to an irritant that causes the woman to want to scratch an itchy area. The reasons provoking an itch of the labia can be many. You should not ignore them, since in some cases serious treatment may be required.
By itself, itching of the labia is not a separate disease, but only a symptom, indicating a problem in the body.
Causes of genital lips itch
The causes of pruritus in the labia include the following:
The age of a woman is important in determining the cause of itching. Thus, hormonal fluctuations in the body can occur during puberty, during pregnancy, during menstruation and in menopause, and it can cause itching.
Itching during menstruation. Menstrual flow is a favorable environment for the development and reproduction of bacterial flora. During this period, a woman’s immunity becomes especially vulnerable to various external and internal factors. If in addition to everything the rules of intimate hygiene are not observed, then the development of the inflammatory process, vulvovaginitis, is quite possible. He becomes the cause of itching of the genital lips.
Itching of the labia during pregnancy. The cause of the resulting discomfort often lies in the hormonal changes that occur in the body. These fluctuations lead to a weakening of the immune defenses, changes in the normal microflora of the vagina and the growth of pathogenic bacteria.
Itching of the labia, caused by the birth of a child. This discomfort is also associated with hormones. In order to stabilize the hormonal background, it will take some time. Hormonal storm ends with the onset of menstruation. Until that time, there is an increased risk of developing various diseases of the genital organs, which may be accompanied by itching.
Itching of the labia during menopause. Disturbance of the trophism of the mucous membranes and the skin of the vulva often occurs during menopause. Gynecologists call this process krauroz. In this disease, itching becomes quite a serious symptom, forcing a woman to experience pronounced discomfort. Often, on the background of Kraurosis of the vulva, nervous disorders of varying degrees occur. To Krauroz leads to a sharp drop in the body of female sex hormones, which previously had a protective effect on the mucous membranes of the genital organs. Sometimes the disease is quite difficult, there are abrasions and cracks in the labia, with the subsequent formation of ulcers. The risk of developing infectious lesions increases, vulvitis and vulvovaginitis join.
External factors influencing the occurrence of itching of the labia.
Pollution. Most often, itching of the labia occurs in women who work in the workplace with increased air pollution by dust.
Non-compliance with the rules of intimate hygiene, rare and improper washing, rare change of gaskets, the inability to take a shower.
Exposure to low or high temperatures. Both overheating and hypothermia can cause itching.
Mechanical impact. In this case, we are talking about wearing linen made of synthetics, about its non-conformity with the size range, about using linen with rough internal seams. In addition, too frequent leaching, as well as vaginal douching without medical recommendations, can have a negative effect. The use of sanitary pads with flavors can cause discomfort in the region of the labia.
Taking some medicines.
Exposure to chemical compounds contained, for example, in condoms or contraceptive gels.
Infectious diseases leading to the development of itching of the labia.
Candidiasis of the vagina is caused by fungi, which, under normal immune status, always exist in the mucous membranes of the female body. With a decrease in the protective forces, their active reproduction occurs. Itching of the labia is one of the most prominent symptoms of candidiasis. In addition, white cheesy discharges testify to the disease, pain during an attempt to empty the bladder, during sex and so on.
Gardnerellosis. The disease develops due to the replacement of the normal microflora of the vagina with the pathogenic one. The itching and burning of the lips of the genital lips in this disease is always pronounced. In addition, women are concerned about the discharge, which have an unpleasant smell, reminiscent of the smell of missing fish.
Genital herpes is also one of the possible causes of itching of the labia. In addition, periodically on the genitals appear rash in the form of bubbles, which occurs during an exacerbation of the disease.
When the inguinal athlete occurs, the skin of the labia majora occurs, pink spots appear on it with the center of inflammation. At the same time, the inguinal zone is itchy, and the lesions are scaly. Then on the skin are formed foci of inflammation, with clear red boundaries.
Trichomoniasis is an infectious disease that causes redness and itching of the labia. Discomfort occurs against the background of abundant yellow discharge with an unpleasant odor.
Parasitic diseases leading to itching of the labia. Discomfort in the region of the labia is capable of scabies. This disease is contagious and develops due to contact with the dermal integuments of the scabies mite. As parasites multiply, itching covers all large areas of the body, including the inguinal zone. Itching tends to increase at night. In addition, pubic lice, which is caused by infection with pubic lice, is capable of causing itching of the labia and labia.
Diseases of the reproductive system of women that can cause itching of the labia. Sometimes the cause of itching of the labia, become the pathology of the female reproductive system. With endometritis and cervicitis, purulent discharge may appear, which will irritate the skin of the labia and cause itching. Although sometimes these diseases are asymptomatic.
Itchy labia with diabetes. Itching in the groin area is due to the fact that the urine of a woman suffering from diabetes, contains a lot of glucose. In addition, trips to the toilet are becoming more frequent. The remains of such secretions on the genitals lead to the fact that bacteria start to multiply there, which provoke irritation and itching.
Diseases of the liver, provoking itching of the labia. Severe damage to the liver can cause bile enzymes to accumulate in the blood and in the skin. In addition to giving the skin a yellowish tint, they also act as an irritant. As a result, a woman may experience itching all over her body, including in the region of the labia.
Diseases of the urinary system and itching of the labia. With pathologies of the bladder and kidneys, their functioning is impaired. This contributes to the development of polyuria and the accumulation in the blood of decay products of urea. These two factors act as irritants to the skin of the genital lips.
Diseases of the blood-forming organs, endocrine glands, genital tumors. All these diseases lead to the fact that the immune system of a woman begins to function worse. Decrease in protective forces leads to reproduction of pathogenic microflora, which causes various diseases provoking itchy genitals. Diseases of the endocrine glands can also cause hormonal disruption.
Long-term stress, serious shocks, nervous disorders, depressive states can cause increased sensitivity of the skin. This, in turn, leads to itching in the body and in intimate places.
Treatment of genital lips itch in women
In order to avoid the development of vulvovaginitis during menstruation, it is necessary to perform intimate hygiene. Gaskets should be changed after a maximum of 6 hours. The amount of menstrual flow does not matter. If the inflammation has already begun, then you should stop using tampons. Cleaning up should be done with the use of antiseptic solutions, including: Miramistin, Furacilin, etc.
If itching began to bother a woman while carrying a fetus, it is necessary to contact an obstetrician-gynecologist and pass the appropriate tests. You may need the use of drugs aimed at normalizing the microflora of the vagina and to increase the immune forces of the body. Pregnant women are often recommended treatment with local drugs – the use of intervaginal suppositories and ointments, washing away with antiseptic solutions.
When the cause of itching becomes vulvitis or vulvovaginitis, a clarification of the causes leading to the development of the disease is required. A woman will need to adhere to bed rest (in the acute phase of the disease), change the diet, increase the number of alkalizing foods (milk, vegetables, steamed, fresh fruit, mineral water). Local treatment is reduced to the use of medical antiseptics (Hinosola, Chlorhexidine, Miramistin), lubrication of the affected skin of the labia may occur with ointments, for example, Sangviritin 1%. Also, doctors prescribe antibacterial ointment – Tetracycline, Erythromycin, Oleterin. Inside, a reception of athymicotics (with fungal infection), antibiotics (with bacterial damage) is shown. The choice of a particular drug depends on the type of pathogen and its sensitivity.
Treatment of thrush is carried out under the supervision of a gynecologist. He selects suitable drugs for women, for example, Clotrimazole, Natamycin, Miconazole, Isoconazole, is a comprehensive treatment regimen (gives advice on nutrition, lifestyle, local treatment of genital organs, prescribes medications to correct intestinal dysbiosis, to improve immunity, etc. ).
Gardnerellosis, leading to itching, requires treatment with the use of antibacterial drugs – Metronidazole, Tinidazole, Clindamycin. It is also necessary to restore the normal microflora of the vagina, for which eubiotics are prescribed.
In case of genital herpes, antivirals are indicated (Acyclovir, Famciclovir, Panavir, etc.), sedatives (Valerian extract), vitamin therapy (ascorbic acid, vitamins B1 and B6), antihistamine preparations (Suprastin, Tazepam), immunomodulators (injectants), immunomodulators ). After completing a therapeutic course, herpes vaccine can be administered. (See also: Genital herpes in men and women on the genitals)
Therapy of the inguinal athlete’s disease is reduced to the implementation of lotions with a solution of Resocine and silver nitrate in the required concentration. Antihistamine medication, treatment of affected areas with antifungal agents, such as Lamisil, Nizoral, Mikoseptin, etc., is possible.
To get rid of trichomoniasis, doctors prescribe Metronidazole or Trichopol. The course of treatment can be a week or a single dose of 2 g can be recommended. The combination with local treatment makes it possible to fully get rid of the disease. To do this, use candles Terzhinan, Betadine, Klion-D and others. If the disease proceeds in a complicated form, then longer antimicrobial therapy will be required.
To get rid of itching caused by scabies, you must use specialized ointments, creams and aerosols. This disease cannot pass on its own. Among the drugs that allow to get rid of scabies mite: Lindane, Esdepalletrin, Permethrin, Crotamiton, Benzylbenzonate, etc. If itching is caused by the spread of pubic lice, then treatment of the inguinal zone with such preparations as Pedilin, Nix, Nittifor, etc. for parasitic infection, it is necessary to carefully treat all things of the patient. For this, special pest control agents are used. Things can also be boiled and ironed.
If itching is caused by psychological disorders, then you need to go to a psychotherapist, undergo an examination and receive medications that this specialist will prescribe.
Intimate hygiene rules are the same for all women:
Cleaning up after going to the toilet (movements should be from front to back);
Underwear change twice a day (younger girls change their underwear more often – as it gets dirty);
Thorough washing and rinsing of underwear, for which it is better to use hypoallergenic powders;
Using soap for washing is not more than once in 12 hours;
Wearing linen from natural materials;
Use only personal tools to perform hygiene.
In addition, at the time of treatment will require the abandonment of intimate life. Sometimes a therapeutic course will need to pass both partners. In any case, if the itching of the labia does not go away after the normalization of the rules of intimate hygiene, consultation with a gynecologist, venereologist or dermatovenerologist is necessary.
Article author: Lapikova Valentina Vladimirovna | Gynecologist, fertility specialist
Education: The diploma “Obstetrics and Gynecology” was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013, graduate school in NIMU them. N.I. Pirogov.