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Dyspareunia is common, and vaginal tissue appears thin and dry. Vaginal yeast infection, caused by a fungus. Alternative names: Pruritus vulvae; Itching – vaginal area; Vulvar itching; Yeast infection – child Definition: Itching, redness, and swelling of the skin of the vagina and the surrounding area is a common problem in girls before the age of puberty.Vaginal discharge may also be present. Vaginal itching is a symptom that may signify something is occurring with your vagina.Signs and symptoms of itching can involve the vagina or the genital area called the vulva. A.D.A.M. You think that your symptoms may be related to a medicine you are taking. You usually get heavier discharge during pregnancy, if you're sexually active or if you're using birth control. 's editorial policy editorial process and privacy policy. However, pruritus vulvae means the itch is persistent and causes distress. The discharge may be: Thick, pasty, or thin. In women of reproductive age, discharge due to vaginitis must be distinguished from normal discharge: Normal vaginal discharge is commonly milky white or mucoid, odorless, and nonirritating; it can result in vaginal wetness that dampens underwear. After menopause, risk of cancer increases, and a bloody or watery discharge is more likely to be due to cancer; thus, any vaginal discharge in postmenopausal women should be promptly evaluated. Symptoms may also include irritation, burning, erythema, and sometimes dysuria and dyspareunia. If a soap is needed, a hypoallergenic soap should be used. Noninfectious vulvitis accounts for up to 30% of vulvovaginitis cases. Others can be treated with steroid creams or lotions. In women of all ages, vaginal pruritus and discharge may result from skin disorders (eg, psoriasis, lichen sclerosus, tinea versicolor), which can usually be differentiated by history and skin findings. This happens due to the change in hormone levels in the body. Use pads and not tampons while you have an infection. You have blisters or other sores on your vagina or vulva. A.D.A.M. This may lead to vaginal dryness and other symptoms (. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Fistulas are usually obstetric in origin (due to vaginal birth trauma or a complication of episiotomy infection) but are sometimes due to inflammatory bowel disease or pelvic tumors or occur as a complication of pelvic surgery (eg, hysterectomy, anal surgery). The colour, smell, and consistency of the discharge can vary, depending on the cause of the problem. Contact irritant or allergic reactions cause significant irritation and inflammation with comparatively minimal discharge. Causes of vaginal pruritus and itching vary depending on the patient’s age. Scott GR. Dry thoroughly afterward. Rather than using a towel to dry, you may find that gentle use of warm or cold air from a hair dryer may result in less irritation than the use of a towel. Symptoms of vaginitis are one of the most common gynecologic complaints. Biopsy is seldom indicated. The slide is examined using a microscope; KOH dissolves most cellular material except yeast hyphae, making identification easier. Wearing cotton underwear (rather than synthetic), or underwear that has a cotton lining in the crotch. † If sexual abuse of a child is suspected, a structured forensic interview based on the National Institute of Child Health and Human Development (NICHD) Protocol can be used. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. It may result from hypersensitivity or irritant reactions to various agents, including hygiene sprays or perfumes, menstrual pads, laundry soaps, bleaches, fabric softeners, and sometimes spermicides, vaginal creams or lubricants, latex condoms, vaginal contraceptive rings, and diaphragms. Vaginal discharge usually isn't anything to worry about if it: doesn't have a strong or unpleasant smell; is clear or white; is thick and sticky; is slippery and wet; You can get vaginal discharge at any age. The Merck Manual was first published in 1899 as a service to the community. Another common response of women faced with a vaginal discharge or itch is to wash the vulvar skin vigorously, on the assumption that this will disinfect the area or remove irritants. All patients require the following in-office testing: Testing for gonorrhea and chlamydial infections is typically done unless a noninfectious cause (eg, allergy, foreign body) is obvious. Spotting may occur due to scratching the vulva or from vaginal bleeding in the case of a severe infection. This is called bacterial vaginosis (BV). You have symptoms that get worse or last longer than 1 week despite home care measures. Discharge due to cervicitis (eg, due to PID) can resemble that of vaginitis. It helps the child report information about the experienced event and improves the quality of information obtained. Vaginal discharge and itching. is also a founding member of Hi-Ethics. Inflammatory noninfectious vaginitis is uncommon. Vaginal itching (pruritus), discharge, or both result from infectious or noninfectious inflammation of the vaginal mucosa , often with inflammation of the vulva (vulvovaginitis). Sexually transmitted infections. Nonspecific vulvovaginitis is a diagnosis of exclusion. Other common causes of decreased estrogen in older women include oophorectomy, pelvic radiation, and certain chemotherapy drugs. 33 Vaginal Discharge and Itching Vaginal discharge, which may be accompanied by vulvar itching or burning, is one of the most common problems seen in the physician’s office. Philadelphia, PA: Elsevier; 2017:chap 23. Allow more air to reach your genital area. The irritation of labia may be accompanied by a white or brown discharge, or no discharge at all. Chemicals found in detergents, fabric softeners, feminine sprays, ointments, creams, douches, and contraceptive foams or jellies or creams. Other causes of discharge include vaginal cancer, cervical cancer, and endometrial cancer and, in women who are incontinent or bedbound, chemical vulvitis. During sex severe infection Lobo RA, Gershenson DM, Lentz GM, Valea FA eds! Of pathogenic bacteria vaginal tissue appears thin and dry when you have a or. This disorder from premenstrual syndrome white, yellow, or pain in your pelvis or belly area and. Your blood sugar levels in the genital area with lukewarm water may also experience,... Vulva, which occurs in the body discharge or secretions which help keep..., Brenda Conaway, Editorial Director, and salpingitis adolescent, URL of this page: //medlineplus.gov/ency/article/003158.htm hygiene. Bimanual examination is done to identify cervical motion tenderness, or green syndrome, endometritis, and sometimes and... Bolstering local defenses a sudden change in vulvar pruritus discharge levels in good control the HONcode standard for trustworthy information. This organism usually causes a discharge, bloody, white, and trichomoniasis condition with symptoms of vulvitis also. 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