November 08, 2019

Persistent Itching Of The Vulva. What To Do?

As stated previously, if your vulva itches persistently and is not relieved by the usual treatment for vulvar infection, you must continue to see your doctor until the cause is discovered.

This warning does not include women who have recurrent fungus infections that require intermittent treatment, nor women who have recurrent trichomonas infection, but rather those whose itching is unexplained and unrelieved.

If your doctor has not been able to give you a specific diagnosis and an organized approach for treatment, you probably need to see a gynecologist. If you have seen one gynecologist and are still not free of your itching problem, get a second opinion from another gynecologist.

Occasionally, seeing a dermatologist for a problem of this type is helpful.

The problem of vulvar itching is a most frustrating problem for a patient and for her physician It can be difficult to find the cause, and even the best treatment does not always give relief.

I will give some general guidelines to help you understand what might be done if you have  this problem.

What procedure will a doctor follow to find the cause of itching ?

There are several basic steps that a doctor may take.

😮 History of the problem: The doctor will want to know how long the problem has been present and whether or not you have been treated for infections of the vulvar area.

He or she Will also want to know if you have been using medications on the vulvar area and whether you have been using toilet tissue containing perfumes or dyes or tampons or pads that contain chemicals.

😣 Treatment of infection: The doctor will want to treat you for any infection found, to see if that will eliminate the problem.

😮 Biopsy: The doctor will look for any areas of abnormal tissue. In some women there may be thickened vulvar tissue present, and in other women there may be areas that have become thin and sensitive. The doctor may want to take several biopsies. if there are several areas that look abnormal Occasionally a cancer of the vulva will first show up as itching.

Further treatment.

If you do have premalignant or malignant tissue, the doctor will obviously treat that.  If changes of the vulvar skin persist, you may, need to continue seeing your doctor intermittently. He or she may want to do repeat biopsies of the tissue. If your doctor suggests  this, I urge you to follow the suggestions.

Such conscientiousness may help you find abnormal cells on your vulva before they become malignant.

How will a doctor treat itching cauused by thickened skin? 

This is known as hyperplastic dystrophy Cotton dressings soaked with cool Burrow’s solution can be applied repeatedly to the areas of thickened skin.

This helps clear up the irritation and oozing. In fact, Burrow’s solution, a preparation available without prescription from a drugstore, is helpful for many skin problems.

In addition, an antibiotic cream can be applied to the area if it seems infected, and cortisone-type ointments can be applied when the oozing and imitation have resolved. These cortisone preparations can be applied two or three times a day and may need to be continued intermittently for many years. Women tend to use them when they are itching and stop when the itching is better. See your doctor if the problem persists.

The thickened skin usually becomes much more normal looking, but sometimes it does not. Occasionally the itching will not clear up either. Further medical consultation may be necessary.

My doctor did a biopsy of my vulva and said that I have lichen sclerosis. What is that? How is It  treated? 

Lichen sclerosis is a condition of the skin of the vulva of unknown cause. With this condition,  part or all of the skin of the vulva gets thin, shrunken, white, and itchy. It is not an infection or a malignancy.

Your doctor will take a biopsy to confirm his or her impression of your problem and to make sure you do not have a malignancy. Once certain of the diagnosis, your physician can prescribe medication.

An application of 2 percent testosterone propionate in petrolatum, used two or three times a day far at least four weeks, has been found to be the best treatment; If the itching is intense, application of the testosterone ointment can be alternated with cortisone cream, or the two may be meed together. It may be helpful to wrap a sanitary pad in plastic wrap and wear it to hold the ointment against the skin of the vulvar area more effectively.

After about a month most women will have much less itching and will be able to use the testosterone ointment less frequently. This less-frequent use is desirable because continued use of this male hormone can produce masculine changes in a woman such as increased hair growth, decreased breast size, oily skin with acne, and increased sexual desire.

But Note don’t run to the pharmacy to get this drug just to increase your sexual interest! For most women, the amount of this medication required to significantly increase libido will also be enough to give them a beard!

Lichen sclerosis can cause shrinking of the vulvar tissues. Women who have shrinking of these tissues may find intercourse painful or impossible, In this situation, Premarin vaginal cream should be used in the vagina in addition to the testosterone on the vulva.

One-half an applicator full of the Premarin cream in the vagina three times a week is the usual dose. It can take up to nine months for this medication to have its maximum effect. If intercourse remains difficult, the doctor may be able to make a “relaxing incision” to open the vagina more widely. This would, of course, need to be done under anesthesia.

An exciting new treatment has recently shown marked improvement in patients with this problem. The use of clobetasol propionate (Tenovate cream) applied twice daily to the uncomfortable area not only made most women much more comfortable but made their vulvar tissues appear more healthy .

What if my vulvar itching does not respond to treatment? 

If itching continues, injections of a cortisone-type drug (10 mg of triamcinalone diluted 2:1 with saline) directly into the itching skin may be given. If the cortisone injections do not work, an injection of an alcohol solution into the tissues to kill the nerves can be tried (under general anesthesia). This is effective only for itching. It will not usually eliminate any burning in the vulva.

Remember Health Is Wealth

Written By: Isikadi Precious
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Founder/CEO Isikadi Precious Media Inc. Africa's leading Media Tech company with digital media Superbrand focused on Health, Nursing Updates, News, Entertainment, and Inspiration.

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