genital itching

Introduction

Introduction to genital itching Vulvar itching is a symptom caused by various vulvar lesions, but it can also occur in patients with completely normal vulva. It is more common in middle-aged women. When the itching is aggravated, the patient is more restless, which affects life and work. Fungal vaginitis and trichomonas vaginitis are the most common causes of genital itching. Sputum, acne can also cause itching. The pupa caused by tsutsugamushi disease is usually only at night around the anus. basic knowledge Sickness ratio: 0.2%-0.5% Susceptible people: women Mode of infection: non-infectious Complications: vulvar cancer vulvitis vulvar white lesions

Cause

Vulvar pruritus

Special infections and poor hygiene practices (65%):

Fungal vaginitis and trichomonas vaginitis are the most common causes of genital itching. Sputum, acne can also cause itching. The pupa caused by tsutsugamushi disease is usually only at night around the anus. Do not pay attention to local cleansing of the vulva, sebum, sweat, menstruation, vaginal secretions, even urine, fecal impregnation, long-term stimulation of the vulva can cause itching: menstrual period with rubber or plastic menstrual belt, usually wearing non-breathable chemical fiber underwear can be stagnation due to damp heat And induced sputum.

Systemic causes (10%):

(1) Diabetes due to the stimulation of glucosuria to the skin of the vulva, especially accompanied by fungal vulvitis, the genital itching is particularly serious. Many patients are treated first because of pruritus and redness in the genital area. After further examination, the diagnosis is diagnosed as diabetes. of. (B) Astragalus, vitamin A, B deficiency, anemia, leukemia and other chronic disease patients with genital itching, often part of the body itching. (C) genital and premenstrual genital congestion can cause genital itching discomfort. (D) Unexplained genital itching Some patients with genital itching are very serious, but no obvious systemic or local causes can be found. Some people think that it may be related to mental or psychological factors.

Other (10%):

1. Chronic vulvar malnutrition The main symptoms of itching, accompanied by gray skin of the vulva.

2. Drug allergies or chemical crystals to stimulate soap, condoms, clean and new, red mercury, etc. may cause contact dermatitis due to direct stimulation or allergies, itching symptoms.

3. Other skin lesions, bruises, common warts, herpes, eczema, and tumors can cause genital itching.

Prevention

Vulvar itching prevention

The itching of the anus, labia and scrotum is collectively called genital itching, which causes many pathogens of genital itching, such as mites, trichomoniasis, mites, fungi and bacteria. If the cause is clear, the disease is not difficult to cure, but now it is more More genital itching is not related to these microorganisms, but chronic dermatitis or eczema formed by long-term stimulation due to physical and chemical factors.

Wrong way one:

Some people mistakenly think that the vulva is a dirty place. Every night, it is washed with soap, hot water, salt water, cleaning liquid or disinfectant. They also said that it is very comfortable after scalding. In fact, the vulva is not more dirty than the nose and mouth. Cleaning, disinfection, "comfortable", but will make the flora of the vulva dysfunctional, local inflammation, make itching more serious, and even cause perianal inflammation, cystitis, retrograde pyelonephritis.

Wrong way two:

For the genital itching, some doctors not only do not persuade the patient to stop scalding, but suggest that the scald is coated with a drug containing "pine" hormones. The result is temporary effective, more itchy after stopping, more and more stubborn, even for many years. More.

Expert advice:

To cure stubborn genital itching, first stop all kinds of scalding measures, and then stop all drugs containing "loose". It may be more itchy at the beginning of withdrawal. At this time, you can use wet tissue with thick thick towel to wet the vulva. Wash the towel once every 3 minutes, do not make it hot, continue to apply cold, until it does not itch, then itching and then apply, without applying any medicine, it can be cured.

Reminder:

After urinating or sexual intercourse on weekdays, only use cold water to rinse the vulva, but do not flush the water into the anus or vagina, so as not to affect the self-cleaning effect of the body tissue.

8 major precautions for genital itching:

1, pay attention to menstrual hygiene, during the menstrual period, change the menstrual pad, and clean.

2, keep the vulva clean and dry, do not use hot water to wash, do not scrub with soap.

3, avoid use, abuse drugs, avoid scratching and local friction.

4, avoid alcohol and spicy food, do not eat seafood and other drugs that are easy to cause allergies.

5, do not wear tight-fitting pants, underwear must be loose, breathable, and cotton products are appropriate.

6, if there is damage, infection, you can use l: 5000 potassium permanganate solution (add a trace amount of potassium permanganate powder in warm water, so that it is light red, not too thick) dip, 2 times a day, Every 20 to 30 minutes, it is best to see a doctor and follow the doctor's advice.

7. Seek medical attention for mold or trichomoniasis. If it should be treated promptly, do not apply anti-itch water treatment.

8, long-term treatment of patients should be checked for blood sugar.

If the symptoms of itching are severe, and accompanied by other abnormalities such as vaginal discharge, abdominal pain, etc., it is likely to be an inflammatory infection. It is necessary to go to the hospital for gynecology for relevant examination and targeted treatment.

Prevention and treatment of genital itching

Clothing: underwear and underwear should be kept clean, underwear should be soft and wide, cotton fabric is better, should avoid wearing chemical fiber clothing.

Food: pay attention to adjust the gastrointestinal function, with light, fresh vegetables and soy products rich in vitamins; forbidden smoke, wine, pepper, tea, coffee and other irritating food; keep the stool smooth.

Live: adjust the indoor temperature to 16 ° C ~ 20 ° C, relative humidity is 30% ~ 40%, when the relative humidity is less than 20%, the indoor air is too dry, dust and other sensitizing substances are easy to fly, so should be sprinkled on the ground, A conditional person can activate the humidifier.

OK: Skin sensitive people should not only reduce the activity properly, but also pay attention to the bath should not be too diligent, the water temperature should not be too high, otherwise the sebum on the skin surface will be washed away, making the skin more dry and easy to itching, after bathing can be on the surface Apply 30% to 50% glycerin. In addition, itching should not be disturbed to prevent the epidermal cells from undergoing proliferative changes, becoming rough and hypertrophic. As a result, the more itchy, the more itchy, forming a vicious circle.

Complication

Vulvar pruritus complications Complications vulvar cancer vulvitis vulva white lesions

Combined infection, can be complicated by vulvitis, vulvar cancer and so on.

Symptom

Vulvar itching symptoms, common symptoms, itching, pruritus, perineal ulcer, vulvar pain

The genital itching is mostly located in the clitoris, labia minora. It can also affect the labia majora, perineum and even the perianal area. Frequent paroxysmal attacks can also be persistent, generally at night, and no cause of genital itching usually occurs only. In the childbearing age or postmenopausal women, the whole genital area, but may also be limited to a certain part or unilateral vulva, although the itching is very serious, even unbearable, but the appearance of local skin and mucous membranes is normal, or only because of scratching Excessive scratches.

In the diagnosis, detailed medical history and treatment, detailed systemic examination and local examination, if necessary, vaginal secretion culture, drug sensitivity test or local pathological examination.

Examine

Vulvar itching check

The diagnosis should be detailed in the onset of the disease, careful local and systemic examination, if necessary, vaginal secretion culture, drug sensitivity test or local pathological examination. Vulvar itching is mostly located in the clitoris, labia minora, can also affect the labia majora, perineal and even perianal skin lesions. Often paroxysmal attacks, can also be persistent, generally nighttime exacerbation, no cause of genital itching generally only occurs In the childbearing age or postmenopausal women, the whole genital area, but may also be limited to a certain part or unilateral vulva, although the itching is very serious, even unbearable, but the appearance of local skin and mucous membranes is normal, or only because of scratching Excessive scratches.

Diagnosis

Diagnosis of genital itching

The itching of the anus, labia and scrotum is collectively called genital itching, which causes many pathogens of genital itching, such as mites, trichomoniasis, mites, fungi and bacteria. If the cause is clear, the disease is not difficult to cure, but now it is more More genital itching is not related to these microorganisms, but chronic dermatitis or eczema formed by long-term stimulation due to physical and chemical factors. It should be differentiated from trichomonas, fungal vaginitis and white lesions of the vulva.

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