Mons pubis: seborrhoeic dermatitis, folliculitis.

Flexures: seborrhoeic dermatitis, nonspecific or candida intertrigo.

Convex areas and thighs: irritant contact dermatitis due to urinary incontinence (usually symmetrical incontinence-associated dermatitis) or rarely, allergic contact dermatitis ( asymmetrical).

Itch often only affects one anatomic part of the vulva: When assessing the cause, it’s essential to determine the precise location of the symptoms. There may be an obvious or subtle rash or no signs of disease at all. The clinical features depend on the underlying cause of the vulval itch. What are the clinical features of an itchy vulva? The neuropathy may be caused by injury, surgery or disease locally ( pudendal entrapment), within the pelvis or in the spine. Neuropathy should be considered as a cause of vulval itch if there are no signs of infection or skin disease apart from lichen simplex - which can be secondary to a pruritic neuropathy - especially if vulvodynia is present.

Invasive vulval cancer ( squamous cell carcinoma).

Squamous intraepithelial lesions (SIL, also known as vulval intraepithelial neoplasia or VIN).

Itch due to neoplasiaīenign and malignant neoplastic disorders of the vulva are often asymptomatic in their early stages, but they can cause itch. Latex rubber and semen are potential causes of contact urticaria.

Adhesives in pads, pantyliners and tampons.

Rubber accelerants in condom, menstrual cup or underwear.

Fragrance in a douche or antiperspirant.Methylisothiazolinone, a preservative in moist wipes.Other common skin disorders that may cause vulval itch include: Normal, excessive or infected vaginal secretions.Inappropriate or unnecessary chemical applications, including lubricants, over-the-counter or prescribed medications.Friction from skin folds, clothing, activity, or sexual intercourse.Underlying tendency to atopic dermatitis.Age-related prepubertal or postmenopausal lack of oestrogen.It may be due to various reasons, including: Irritant contact dermatitis is the most common cause of an itchy vulva at all ages. Itch due to an inflammatory skin condition Infections that rarely cause vulval itch include cytolytic vaginosis (associated with vaginal lactobacilli) and trichomoniasis.Pinworms can reside in the vagina or anus and cause itch when they exit at night.Bacterial vaginosis causes a frothy, malodorous discharge, and uncommonly causes vulval itch, possibly as a result of contact dermatitis.Several less common infections may cause vulval itch. Postmenopausal women are unlikely to have Candida albicans infection unless they have diabetes, they are treated with oestrogen or antibiotics, or the overgrowth of candida is secondary to an underlying skin disease. Candida can be a cause of napkin dermatitis in babies.

Itch due to infectionsĬandida albicans infection ( vulvovaginal thrush) is the most important microorganism to consider in a postpubertal woman with vulval itch. One or more specific conditions may be the cause of a vulval itch. They may or may not have an associated skin condition.

Girls and women of any age and race can experience mild, moderate or severe vulval itch, which can be intermittent or continuous. Vulval itch, pain and burning can co-exist. Pruritus vulvae should be distinguished from vulval pain and from vulvodynia, which refers to chronic burning symptoms in the absence of clinical signs. The sensation of itch in this site in the absence of a known skin condition is referred to as pruritus vulvae.

Tell your doctor if you are pregnant or plan to become pregnant during treatment.ĭo not use clotrimazole vaginal without medical advice if you are breast-feeding a baby.ĭo not give this medicine to a child younger than 12 years old without medical advice.The vulva, or external genitalia of the female, includes the mons pubis, labia majora (outer lips), labia minora (inner lips), clitoris, perineum (the tissue between vagina and anus) and the external openings of the urethra and vagina. Clotrimazole vaginal is not expected to harm an unborn baby. Frequent vaginal yeast infections that do not clear up with treatment may be a sign of a more serious condition.Īsk a doctor or pharmacist if it is safe for you to use clotrimazole vaginal if you have other medical conditions, especially:įever, chills, pain in your back or shoulder įDA pregnancy category B. Tell your doctor if you have had more than 3 vaginal infections within 6 months. If this is the first time you have ever had symptoms of a vaginal yeast infection, ask your doctor before using clotrimazole vaginal. You should not use clotrimazole vaginal if you are allergic to it.

Vaginal itch cream for children