A persistent itch in your most intimate area might seem embarrassing to discuss, but it's more common than you might expect. An estimated one in 10 women experience vulvar itching at some point in their lives — and that number could be much higher, as many may hesitate to bring it up to their doctor.
Evergreen Women’s Health offers a safe, judgement-free space where you can feel comfortable asking questions and discussing concerns. Gynecologist Cynthia McNally, MD, and her team specialize in helping women find relief from vulvar conditions that cause chronic itching and irritation.
Don’t let embarrassment stop you from getting the help you need. This month, we explore the possible reasons behind this bothersome symptom and effective treatments that can help you feel like yourself again.
Wondering why that uncomfortable itch won’t just go away? Vulvar itching is a sign from your body that something is disrupting its natural balance. While the exact reasons may vary, here are some common culprits:
Everyday products can sometimes be the source of vulvar itching. Soaps with harsh chemicals, scented laundry detergents, bubble baths, and even certain fabrics in underwear can trigger an itchy reaction in this sensitive area. Even “natural” products can be irritating. It is common for women to overclean and strip away natural oils. We recommend that soap not be used at the vaginal opening.
Several types of infections can cause vulvar itching. One of the most common is a yeast infection, which results from an overgrowth of naturally occurring fungus. Bacterial vaginosis (BV) is another frequent cause. Some sexually transmitted infections (STIs)—such as trichomoniasis, genital warts, or herpes—can also lead to itching and irritation. However, it’s important to note that itching is not usually caused by an STI.
Herpes, in particular, may cause intense localized itching and can feel similar to a papercut. It often begins with small red blisters or sores. If you’re experiencing symptoms like these, it’s important to be evaluated by one of our providers.
Certain skin conditions that cause an itchy rash on other parts of your body can also affect the vulva, including psoriasis and lichen planus. There are also some disorders that primarily affect the genital area, such as lichen sclerosus, which can lead to intense itching, inflammation, and skin changes.
A decrease in estrogen levels, often during menopause or perimenopause, can lead to vaginal dryness and thinning of the vulvar tissues. For some women, this dryness can cause significant itching and discomfort.
We understand that embarrassment might make you hesitate to get help for vulvar itching. However, ignoring the problem or trying to solve it yourself with over-the-counter products may prolong your discomfort.
What might seem like a minor irritation could be a symptom of a more serious underlying issue — but often, it’s something our experienced team can easily clear up with the right diagnosis and treatment. That’s why seeking a professional evaluation is so important.
Instead of relying on guesswork, we offer treatments tailored to your specific condition. This might include prescription-strength antifungal creams for yeast infections, antibiotics for BV, or topical corticosteroids for skin conditions like lichen sclerosus.
We can also help you manage discomfort related to low estrogen with bioidentical hormone replacement therapy or innovative procedures like MonaLisa Touch®.
Getting relief from vulvar itching can be simpler than you think. Don’t let embarrassment stop you from finding effective treatment. Schedule an appointment at Evergreen Women’s Health in Vancouver, Washington, and let us help you reclaim your comfort and confidence.
