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Eczema In The Vulvar Area

Vulvar Skin Conditions And Their Treatment

Eczema In Genital Region – Your Key To Instant Relief

Several vulvar skin conditions are familiar from other areas of the body but may be difficult to recognize when they appear on the vulva. These include the following:

Eczema. This inflammatory skin condition disrupts the skin’s surface, causing red patches and thin cracks, weeping, and crust formation. On the vulva, crusts are less likely, but eczema may initiate a cycle of vulvar itching and scratching that leads to lichen simplex chronicus thickened and intensely itchy skin. If eczema affects an area of the vulva called the vestibule, it may cause stinging and burning. Sometimes eczema appears in early childhood and its cause is unknown. More often, it begins with exposure to an irritant or allergen .

Many things can cause an allergic reaction or irritate vulvar skin. Here are some of the leading suspects:


  • Soap, bubble baths and salts, detergent, shampoo, conditioner
  • Adult or baby wipes
  • Panty liners and their adhesives
  • Nylon underwear, chemically treated clothing
  • Vaginal secretions, sweat, and urine
  • Douches, yogurt


  • Benzocaine
  • Propylene glycol
  • Fragrances
  • Tea tree oil
  • Latex

Adapted from The V Book, by Elizabeth G. Stewart, M.D., and Paula Spencer .

To diagnose vulvar eczema, the clinician will ask about your symptoms your history of eczema, allergy, and related conditions your vulvar cleansing habits and any products the vulva has been exposed to. During the exam, she or he will look for redness, scaling, cracking, and thickening.

How Can You Care For Yourself At Home

  • Use your medicine exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. Tell your doctor if you are taking other prescription or over-the-counter medicines.
  • Wash your vaginal area no more than once a day. Use cool water with or without mild soap. Pat dry or use a hair dryer on a low setting.
  • Do not have sex until you feel better.
  • Do not douche or use powders or sprays on your vulvar area.
  • Try not to scratch. Use a cold pack or a cool bath to treat itching.
  • For severe itching, try an oral antihistamine, such as a nondrowsy one like loratadine or one that might make you sleepy, like diphenhydramine . Read and follow all instructions on the label.
  • Try sleeping without underwear.
  • Wear loose cotton clothing. Do not wear nylon or other materials that hold body heat and moisture close to the skin.

Diagnosis Of Vulvar Conditions

Vulvar conditions can be diagnosed using a number of tests including:

  • medical history
  • swab tests to check for infections
  • biopsy.

Although it can feel awkward, it is important that you ask your health professional to examine your vulva if you have vulvar irritation, so that they can be sure to diagnose and treat your condition correctly.

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When To Call Your Doctor

If your symptoms dont resolve within one to two weeks, call your doctor. They can help figure out what is causing the irritation of your vulva and recommend the best course of treatment.

Your doctor will ask you about your symptoms and medical history. They will also do a pelvic exam to check for redness, blisters, lesions, and abnormal vaginal discharge. They may take a sample of the discharge to test for infection or other abnormalities.

After a diagnosis has been made, your doctor can prescribe the appropriate treatment, which might include antibiotics, antivirals, or prescription-strength antifungals. They might also have other recommendations to help you manage your symptoms until your condition improves.

What Could It Be

Causes &  Cures for Itchy Vaginal Lumps, Bumps and Sores ...

Genital psoriasis can look like a lot of other things. Some arenât that common, but itâs important for your doctor to rule them out.

Seborrheic dermatitis : You usually get this itchy red rash on your scalp or face, but it can show up in other places, too, including your groin, pubic area, and genitals. In sensitive areas, SD is bright red with almost no scale. Some people have both SD and psoriasis. Read about the symptoms and causes of seborrheic dermatitis.

Yeast infection: Itâs normal to blame itching and burning in the genital area on yeast infections, because so many women have them. But you get them inside your vagina, while psoriasis is on the vulva just outside it. You can usually treat yeast infections with over-the-counter meds. But if you have psoriasis, these can make your symptoms worse. Learn about the common signs of a yeast infection.

Tinea cruris : This is a type of yeast infection that happens mostly in men. It causes itchy red spots, mainly around the creases in your upper thighs. You usually donât have it on your penis. Find out more on jock itch symptoms and treatment.

Contact dermatitis: This itchy rash starts when you come in contact with something youâre allergic to. Hundreds of things can be to blame, including:

  • Soaps

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How Is Vulvitis Treated

The first treatment is to immediately stop the use of any products that may be causing the irritation and to wear loose-fitting, breathable white cotton undergarments. Over-the-counter anti-itch products should be avoided, as they can make the condition worse, or last longer.

Your doctor may also prescribe the use of an over-the-counter cortisone ointment on the affected area several times a day. This can help reduce the irritation and itching.

Sitz baths and the use of a topical estrogen cream may also be prescribed to deal with the itching and other symptoms of vulvitis.

If these treatments do not reduce the irritation, further tests may be prescribed to rule out more serious underlying conditions such as vulvar cancer. Luckily, vulvar cancer is rare.

Is Eczema In Vaginal Area From Sexual Activity

If you develop a rash on your genitalia, your first thought might go to the bedroom. Indeed, a rash and need to scratch down there can often be the result of a sexually transmitted disease . If you have had recent unprotected sex or multiple partners, this may likely be the origin of redness. There are over 20 types of STDs including chlamydia, herpes, syphilis, gonorrhea, crabs, pubic lice, Molluscum Contagiosum, HIV, AIDS, Trichomoniasis , Scabies, Human Papilloma Virus , Hepatitis, and Mycoplasma genitalium. All of the previously mentioned share a resemblance to eczema in some form. You may want to make an appointment with your gynecologist to arrange a blood test or examination. Even if it is just eczema, it doesnt hurt to check and be safe.

The combination of eczema tendencies and STD can be deadly. Eczema herpeticum constitutes as a medical emergency due to the serious complications that can be fatal if untreated. This happens when a generally lax HSV-1 turns into scarring blisters, swollen lymph nodes, and fever. Organ failure, blindness, and spreading to the brains, liver, and lungs can all occur. This is more of a problem for vulnerable populations who have weakened immune systems due to skin conditions but is something to keep in mind.

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When Should You Call For Help

or seek immediate medical care if:

  • You have a fever.
  • You have vaginal discharge that smells bad.
  • You have burning or pain when you urinate.
  • You have increased pain, swelling, warmth, or redness in the vaginal area.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • Your rash spreads.

Getting A Diagnosis For Genital Eczema

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The genital region is at risk of the scope of skin issues, many of them accidentally self-caused. You may routinely spoil your face and strive to keep it hydrated, youthful, and eczema-free, yet what have you done of late for the more touchy skin of your genitals.

Many people think no more than itch is just yeast infection. But with age and the decrease in collagen production, men and women are progressively inclined to an assortment of conditions that aggravate the genitals, including eczema. And genital eczema isnt getting the consideration it needs and people arent getting the help they should be getting.

Genital skin conditions are very treatable however, the treatment relies upon a particular reason. Whats more, recognizing the fundamental cause can be exceptionally difficult.

Inform your clinician concerning some other past or present medical problems and any skin issues somewhere else on your body. For instance, psoriasis in any place on the body raises the danger of a genital condition known as lichen sclerosus. Lichen, as a term connected to skin issues, alludes to skin sores that look like lichen on rocks.

Crohns disease, an extremely irritating intestinal issue, may cause abscesses or depleting fistulas in the genital region, and vulvar skin issues, including eczema, is regularly one of its initial indications.

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Treatment For Vaginal Eczema

In order to determine the treatment for your vaginal eczema, you need to determine what causes your specific outbreaks. If it is an STD, take some penicillin and get clear. If it is more of an allergic reaction, it is time to reassess the products you are using. There are certain soaps targeted specifically at vaginal cleansing. These are different than other soaps as they are formulated for the extra sensitive area. Additionally, change up the type of underwear you use. A thong or something lacy might irritate your skin. Cotton or silk fabrics are the softest types. There are special lotions and creams you can purchase to help ease the discomfort. Taking oral medications such as Benadryl can be helpful in some cases as well. If you are looking for something more natural, home remedies such as oatmeal baths have also proven effective.

Itch Due To Infections

Candida albicansinfection is the most important microorganism to consider in a postpubertal woman with vulval itch. Candida can be a cause of napkin dermatitis in babies. 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.

Several less common infections may cause vulval itch.

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What Causes Vaginal Eczema

If your STD tests come back negative, the origin of your issues is likely the same as other eczema disorders. Sensitivities to certain products may elicit an allergic reaction.

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Remember how delicate a vagina is and avoid using harsh or unnatural products. Instead, opt for gentle solutions or possibly get tested to see if you have a specific allergy to an ingredient.

Hot And Cold Temperatures

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Weather is another major factor that can lead to dermatitis vulvar. To many individuals, extreme cold can cause breakouts since the skin gets too dry. When your skin gets too dry, it can easily become brittle, scaly, rough, or tight, which can lead to an eczema flare-up.

On the other side, hot weather can lead to vulva sweating and sweat can easily irritate the vulva skin. In both cases, moisturizers and humidifiers are very significant.

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Home Remedies For Eczema In Genital Area

Although skin eczema in genital area is not dangerous illness, it is quiet irritating and discomforting for the patient. The condition needs to be treated as soon as possible. There are various options available for the patient, conventional creams and medications can alleviate itching and cure the condition, but these medications may produce side effects.

Many people choose home remedies instead. Following step will help in curing the condition:

  • Keep the affected genital area as clean and dry as possible.
  • Wear loose undergarment made up of cotton garment. Cotton allows easy air circulation which is essential for healing process. It also absorbs perspiration.
  • Dry and flaky eczematous lesion should be kept moist. Apply good moisturizer two times in a day on the affected site.
  • Herbal bath is time tested home remedy for curing genital eczema. It alleviates itching and soreness and simultaneously allows the affected skin to heal. Add comfrey, slippery elm in the bath water for added benefit. After the bath apply a good moisturizer.
  • Aloe vera gel is natural remedy to treat eczema anywhere on the skin, including genital eczema.
  • Homeopathic remedies such as Graphites, Cal Car, etc are found effective in dealing with chronic eczema.
  • Cold compresses on the area give immediate relief in itching and soreness.

Treatment And Self Management

There are some ways youcan treat vaginal eczema. Both conventional and alternativetreatments can be used.

Conventional Treatments

  • Emollients. It isvery important to keep the area moisturised. Use an emollientregularly and frequently throughout the day. It is best to use onethat is free from chemicals and perfumes, or one that you knowdoesn’t have a negative effect on your skin
  • Topical Corticosteroids.These can help with sore and inflamed skin. I would recommend onlyusing one that has been prescribed by your doctor. They can monitorthe strength needed, and the length of time it is used for. It isbest for their usage to be monitored as the vaginal area is verysensitive, so reducing any side effects
  • Antihistamines.Can help reduce itching. Itching in this area can be extremelyuncomfortable. It can be all consuming. Antihistamines can relievethis feeling. They are particularly helpful at night

Alternative Treatments

  • Aloe Vera. Anatural anti-inflammatory, it can reduce redness and itchiness. Aloevera benefits eczema by having moisturising properties. It alsoreduces the number of bacteria on the skin, so the chance of gettingan infection is less
  • Colloidal Oatmeal.A great moisturiser, relieving itching and inflammation. You can useit in the bath, or as part of a cream or soap

Self Management

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Vulval Symptoms: Often A Skin Problem Not A Gynaecological One

Most of the women we see with vulval symptoms actually have ordinary common or garden variety dermatitis . We believe these usually simple diagnoses are often missed by doctors and health nurses because they are looking for a gynaecological diagnosis, and therefore dont think about the possibility of a dermatological cause for these symptoms.

These women are often referred to gynaecologists who havent been trained in dermatology. The result, in our opinion, is diagnostic terms that can be misleading, such as vestibulitis and vulvodynia. Not surprisingly, the treatments that have been developed from these diagnoses dont work very well. This is why there are so many frustrated doctors, and so many unhappy patients.

While it is true that skin problems on female genital skin will be modified by the local conditions of heat, wetness, friction, and hormones, we want to state very clearly that from our research, the fundamental cause for almost all vulval symptoms is some sort of skin problem, not a gynaecological one.

Even when a skin diagnosis is considered, the treatment is often not effective. We have discovered that this is because dermatological treatment principles need to be modified in the following ways to work effectively on vulval skin.

Symptoms Of Vulvar Dermatitis

What is vulvar itch?

You may notice symptoms of eczema around your vagina suddenly or more gradually as they get worse over time. Warning signs include:

  • Redness and swelling on your vulva
  • Mild to severe burning or itching on your vulva
  • A raw feeling from vulvar irritation
  • A wet or damp feeling from weeping on the irritated skin
  • Pain when using a tampon, speculum, or during sex

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What Are The Signs

  • Mild to severe burning and/or itching of the vulva
  • Vulvar redness and swelling
  • Raw feeling due to the vulvar irritation
  • Damp or wet feeling due to weeping of the irritated skin surface
  • Some women mistake this dampness as vaginal discharge.
  • Pain with insertion of a tampon, speculum, or with intercourse
  • The Science Of Eczema

    Several proteins are crucial in solidifying the protective barrier of the skin, and their deformities are linked with other allergy related problems such as asthma and eosinophilic. Some key compounds of interest are thymic stromal lymphopoietin , Ctip2, and thymic stromal lymphopoietin . Further animal models and clinical trials are needed to draw conclusions, but the promising projects have established potential associations that can be used in the future to further understanding and advance treatment options.

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    Can Vulvitis Be Prevented

    Women can take several measures to prevent vulvitis. These include using gentle, unscented cleaning products on the genital area, and thoroughly drying the genitals after bathing. In fact, using wateronly is often sufficient to clean the genital area. It is also advisable to avoid the use of douches and other fragranced feminine products. Wearing breathable, loose fitting cotton undergarments can also help prevent vulvitis, as can changing into dry clothing soon after swimming and exercising.

    Causes And Symptoms Of Vulvar Dermatitis

    Nummular Eczema

    Vulvar dermatitis can be caused by skin conditions, infections, hygiene, and irritating products. A few possible causes of vulvar dermatitis include:

    • Eczema: An inflammatory skin condition that causes a scaly, itchy rash
    • Psoriasis: A skin condition that causes skin cells to collect and form scaly, silver patches
    • Yeast infections: An infection caused by Candida
    • Bacterial vaginosis: An infection caused by bacteria that often occurs when the microbial flora of the vagina has been disrupted
    • Lichen sclerosis:A rare skin condition that causes small white patches around the vagina
    • Hormonal medications: According to the Centers for Disease Control and Prevention , using certain medications like birth control is a risk factor for yeast infections.
    • Allergies and sensitivities: Products and fragrances may cause irritation or impact your pH balance. These can include soaps, laundry detergents, moisturizers, lubes, and other products.
    • Clothing: Apparel can trap sweat or rub the skin, leading to irritation and itching.
    • Sexually transmitted infections : Many STIs cause vulvar irritation, such as herpes, chlamydia, gonorrhea, genital warts, and trichomoniasis.
    • Vulvar cancer: A rare condition that causes lumps, ulcers, pain in the pelvis, redder or paler skin, stinging, and persistent itching

    The symptoms you experience will vary based on what is causing your vulvar dermatitis.

    Common symptoms of vulvar dermatitis include:

    • Redness

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