Female Genital Pruritus Vulvae An overview of the causes, classification, pathology, clinical picture, complications, diagnosis, and management of pruritus vulvae.
Pathology Skin Changes: Inflammation, erythema, and excoriation from scratching can occur. Immune Response: Local immune reactions to infections or allergens can lead to pruritus. Neurological Factors: Nerve endings in the vulvar area may become hypersensitive due to irritation or inflammation.
Complications Secondary Infections: Persistent scratching can lead to skin breaks, making the vulvar area susceptible to bacterial infections. Chronic Pain or Discomfort: Ongoing pruritus can cause significant discomfort and chronic pain, impacting quality of life. Vulvar Dermatitis: Chronic irritation may lead to dermatitis, characterized by inflammation, redness, and further itching.
Types Primary Vulvar Pruritus: Occurs without any identifiable underlying condition. Secondary Vulvar Pruritus: Associated with specific medical conditions or infections.
Causes: Infectious Yeast Infections: Commonly caused by Candida albicans. Bacterial Vaginosis: An imbalance of normal vaginal flora. STIs: Such as herpes, trichomoniasis, or gonorrhea.
Causes: Dermatological Contact Dermatitis: Reaction to soaps, detergents, or hygiene products. Eczema or Psoriasis: Skin conditions that can affect the vulvar area. Lichen Sclerosus: A chronic inflammatory condition affecting the skin.
Diagnosis & Management Clinical History: Detailed history of symptoms, potential exposures, and medical conditions. Physical Examination: Inspection of the vulva for signs of infection, inflammation, or skin changes. Laboratory Tests: Vaginal swabs, culture tests, and skin biopsy if needed. Management: Identifying and treating underlying causes, symptomatic relief, avoiding irritants, and patient education.
Classification Infectious: Caused by infections like yeast or STIs. Inflammatory or Dermatitis: Including contact dermatitis or eczema. Atrophic: Due to hormonal changes, particularly in postmenopausal women. Systemic: Associated with underlying systemic diseases.
Clinical Picture Intense Itching: Often described as a burning or stinging sensation. Redness and Inflammation: The vulvar area may appear swollen and erythematous. Discharge: Associated infections may lead to abnormal vaginal discharge. Excoriation: Scratching may result in skin breaks or secondary infections.
Causes: Hormonal & Other Menopause: Decreased estrogen levels leading to vaginal atrophy and dryness. Pregnancy: Hormonal changes can lead to itching. Allergies: Reactions to products such as lubricants or condoms. Systemic Conditions: Diabetes or thyroid disorders.
Definition Female genital pruritus vulvae refers to itching in the vulvar region, which can be a distressing symptom for many women. It may occur alone or be associated with other symptoms such as irritation, burning, or discharge.