itching of the vagina
itching of the vagina - this particular unpleasant sensation in the vagina.Itching in the vagina may be due to physiological causes, appear and disappear on their own.Sometimes, to overcome the discomfort in the genital area is sufficient to resort to the simple rules of personal hygiene, changed nature of the power or stop wearing tight underwear or underwear made of synthetic materials.
Perhaps, it is difficult to find a lot of women who have not experienced this unpleasant sensation at least once (and often - much more) in my life.Every year in the doctor's office handles about 10% of gynecological patients with the leading complaint is itching in the area of the genitals (vagina and vulva).
little itchy vagina before menstruation in healthy women may be due to physiological causes and does not require medical correction.Abnormal genital itching part of the complex of symptoms a large number of gynecological diseases, or may accompany extragenital pathology.
The most often causes itching in the vagina factors include general or local inflammatory processes and infectious and allergic reactions, as well as structural changes in the waning hormone function in elderly patients.
skin and mucous vulva and vagina are equipped with a large number of nerve endings.They are located shallow and react to any mechanical or chemical action of external or internal factors.Itching is a reaction to such stimuli.It can manifest itself in the form of:
- local itching that occurs in the place of the impact of a provoking factor, and, as a rule, quickly disappearing after its liquidation;
- extensive (diffuse) itching, extends far beyond the primary focus of irritation of nerve endings and causing changes in the skin and mucous membranes of large area.
clinical manifestations of itching vulva and vagina will be the more pronounced, the larger the area of "defeat".
intensity of itching varies widely: the patient may be concerned about only a slight itching of the vagina and / or the skin of the external genitalia, and sometimes it becomes intolerable and makes the call for medical help.Genital itching can be constant or sporadic, it often appears at night and accompanied by a neurotic disorders.The disease can last for a very long time and can not always be cured in a short time.
treatment of itching of the vulva and vagina is based on the treatment of the disease which caused it.Often, in order to find the exact cause of his (and sometimes there are several) requires a large complex of diagnostic measures, including not only gynecological examinations.
When properly selected therapeutic tactics of the disease can be eliminated.Relapses itching genital organs are not uncommon and are associated with recurrence of the underlying disease.
Causes itching in the vagina
itching of the vulva and vagina are not always associated with severe pathological causes.Sometimes breaking the rules of hygiene (or lack thereof) contributes to excessive proliferation of unwanted microorganisms in the vulva and vagina, which can cause itching.Mechanical irritation of the skin of the vulva tight underwear causes a local mechanical damage (abrasions, irritation), and underwear made of synthetic fibers does not allow the skin to "breathe", preventing the evaporation of sweat, and also provoke itching.
Sweating in the skin of the intimate area helps local irritation and itching in the vagina appearance.This happens in hot weather or in winter when you have to wear warm clothes tight.
aggressive or irritating chemicals that make up the means of intimate hygiene (soap, shower gel, etc.), can provoke local allergic reactions, accompanied by itching.
itching in the vagina, which appeared after intimacy, arises because of vaginal trauma on the background of an insufficient number of vaginal mucus ("grease").
unpleasant sensation in the genital area, itching and discomfort may accompany hormonal dysfunction in the body.Physiological itching in the vagina before menstruation due to hormonal changes in ovarian function and fluctuations in the composition of the normal vaginal flora.
itching in the genital area can be caused by stress in completely healthy women.Stress alters the sensitivity of the skin and distorts the reaction of nerve endings, which are located in the area of the genitals.
Typically, physiological causes provoke moderate, short genital itching that lasts no more than three days.
reasons pathological itching in the vagina depends on several factors.One is the age of the patient.Children itching of the vagina and vulva accompanies inflammatory diseases (vulvovaginitis) often nonspecific etiology.Inflammation can occur in the vulva and vagina up or develop primarily in the vagina and go down to the tissue of the vulva.Also genital itching in children may be due to violations of the rules of personal hygiene, the presence of foreign bodies in the vagina, worms or urinary tract infections.Local or general allergic diseases and infections in children provoke itching in the genital area is much less common.
much rarer in children itching in the genital area can be directly related to the local and general allergic diseases and childhood infections.
any unwanted changes in the vagina occur against a background of constant changes in acid-base balance.In the vagina of healthy women the pH ranges 3.8 - 4.4, then there is acidic.The constancy of the environment is supported by lactobacilli, which produce lactic acid.The acidic environment does not allow pathogens to proliferate and prevents the development of inflammation.If the acidity changes, the pathogenic microflora begins to multiply, crowding lactobacilli and creating favorable conditions for the development of infection.
In adult women among the causes of genital itching come first infectious and inflammatory diseases of the genital tract as a specific and non-specific nature.In these diseases accompanied by itching abnormal secretions (belyami), they contain large amounts of harmful bacteria that irritate the vagina and cause itching.Because of specific pathogens itching of the vagina often caused by Trichomonas.
most common cause of severe genital itching is a fungal infection of the mucous vulva and vagina ("thrush" or candidiasis).Candidiasis - one of the most frequent complications of pregnancy.
Short little itchy vagina often involves infectious-inflammatory process.
Older women itching in the vagina and the vulva is related to degenerative processes in the tissues of the genitals against the backdrop of fading of ovarian hormonal function.Atrophy of tissues at this time promotes inflammation.Reducing estrogen triggers changes in the vaginal flora on the background of reducing the amount of lactic acid bacteria and increase the pH (acidity) of the medium.In addition, elderly healthy women may itself be the cause of pruritus (senile pruritus).
Degenerative disease of the vulva (kraurosis, leukoplakia, lichen sclerosus) damage the nerves of the external genitalia, and is almost always accompanied by genital itching.
itching vagina and vulva provoke neginekologicheskie diseases - diabetes, diseases of the urinary tract (cystitis, urethritis), endocrine disorders, allergic and skin diseases, mental illness or neurosis.
symptoms of itching in the vagina
At the first signs of discomfort or itching in the vulva and vagina women do not tend to see a doctor and try to cope with the problem on their own.Often they succeed, and these symptoms do not return.If the symptoms do not disappear genital itching or picking up three days after the appearance should seek professional help.
Diagnosing the cause of itching vulva and vagina begins with a detailed conversation with the patient.Often a woman can make clear the situation, after which there was genital itching - medication, the use of a new cosmetic product hygiene, stress and so on.If the itch is accompanied by atypical secretions, burning sensation, pain during sexual intercourse, you can suggest the presence of inflammation in the vagina, and if these symptoms are having unprotected sexual intercourse, they can indicate the presence of specific genital infections.
sometimes itching in the vagina of an inflammatory nature combined with a burning sensation or discomfort when urinating.These symptoms are associated with the spread of inflammation in the urethra.
often itching of the vagina accompanied by diabetes mellitus, biliary pathology and / or urinary tract.Typically, patients are informed about the presence of these diseases themselves or have had a history of episodes of vaginal itching.In this case, further investigation should be carried out in cooperation with doctors related specialties.
important clinical value in the diagnosis of the causes of itching in the vagina has its intensity and duration.Itching may occur intermittently or constantly harass a woman, worse at night, accompanied by tenderness.Short episode of itching in the vagina indicates a possible infection.
Patients with itching in the vagina look worried and nervous, especially if symptoms of vaginal itching pronounced or pursue them at night.
pelvic examination of the patient with vaginal itching helps to establish the presence of inflammation and / or infection and to study the nature of discharge.When inflammation of the vagina (vaginitis) visible hyperemia and mucosal thickening of its walls, as well as an increase in the number of discharges.Character of discharge varies from whitish to clear or purulent, sometimes they have an unpleasant odor.When candidiasis copious and have a specific kind of cheesy.
In postmenopausal women, a little itching in the vagina and / or vulva accompanied by a feeling of dryness or burning.Reduction of vaginal discharge in this age group due to the physiological causes.When viewed from the vaginal mucosa appears atrophic (thin and pale), discharge is very small, so easy to mucous injured and ill to cope with local inflammation.
All patients with genital itching is necessary to study the composition of the vaginal flora, especially in the presence of abundant atypical secretions.To that end, studied smears and crops from the vagina.If you suspect a particular process are assigned tests for genital infections.
considerable assistance in determining the nature of the changes in the vagina provides rapid diagnosis of vaginal pH environment using special test strips.Deviations from the normal pH value is a sign of distress.
itching of the vagina during pregnancy
occurred during pregnancy genital itching can be the reasons similar to those outside of pregnancy:
- violation of the rules of hygiene: during pregnancy, the amount of the physiological vaginal secretions can be improved, it requires additional hygiene procedures;
- an allergic reaction to food, household chemicals, cosmetics, pharmaceuticals and more;
- neurotic disorders associated with fear of childbirth or hormonal changes caused by quantitative;
- bacterial vaginosis on the basis of dysbiosis in the vagina;
- genital infections, such as trichomoniasis;
- extragenital pathology (endocrine disorders and dishormonal);
- close uncomfortable underwear especially from synthetic fibers;
- climatic factor: too hot weather causes excessive sweating in the genital area, or low winter temperatures, forcing many to put on warm clothing;
- an excessive amount of salt in the urine, irritating the vulva when you urinate, subsequent inflammation may go on the vaginal mucosa.
Sometimes pregnancy itself as the cause provoking itching of the vulva and vagina.Note that pruritus is not always pregnant pathology.Changing hormone levels affect the elasticity of the skin, increasing the size of the stomach and chest areas are formed on the skin stretching, which can cause itching phenomenon, including the genital area.
These physiological phenomena must be distinguished from symptoms of toxicosis second half of pregnancy.Increasing the amount of estrogen in the blood of pregnant women leads to changes in the liver and biliary system.Excessive production of bile acids and their stasis (cholestasis) give rise to itching and sometimes - itching in the vagina.To confirm this cause of genital itching are special tests - liver function tests.
most pressing cause of vaginal itch in pregnant patients is vaginal candidiasis.Vaginal candidiasis in pregnancy occurs three times more often that of the non-pregnant and is important in obstetric practice.It is an inflammation of the mucous membranes caused by overgrowth of fungal infections (Candida fungi) into the vagina to reduce the amount of background physiological lactobacilli.Fungal flora detected in the survey every third pregnant.It is not a harmless infection, as his fault occurs in utero infection of the fetus and there are complications during pregnancy and childbirth.Diagnosis of candidiasis is quite simple: a simple analysis for the presence of fungal flora in the vagina even in the absence of clinical symptoms bright enables the correct diagnosis.
Intense itching in the vagina
intensity vaginal itching is not a valuable diagnostic criterion because it refers to the subjective feelings of the patient and depends on the individual response of the skin and mucous membrane irritation.Some patients even minor symptoms of discomfort in the genital area is characterized as significant.
However, most often intense itching of the vulva and vagina complain kraurosis patients with vulvar, vulvovaginal candidiasis and trichomoniasis.
kraurosis vulva develops in postmenopausal women and is associated with ovarian hypofunction.Under the influence of hormonal depletion occur atrophic changes of the vulva, causing itching phenomenon.In the process of the vagina, usually it does not apply, and localized exclusively outside.
colpitis Trichomonas causes intense itching feeling short of the vagina and is accompanied by copious pus-like discharge with an unpleasant odor, resembling the smell of fish.A distinctive feature of secretions trichomoniasis is their watery, "foamy" appearance.The emergence of such symptoms is preceded by unprotected sex.
most common cause of severe itching in the vagina is vaginal candidiasis ("thrush").In some cases only one symptom is pruritus.As a rule, itching candidiasis is ongoing, intensified in the evening or at night.Often this itch causes insomnia and neurotic disorders.Diagnosis of fungal infection of the vagina is not difficult.The characteristic symptoms are heavy, thick whites with a dash of white "crumbs" or "flakes", as well as the whitish bloom on the surface of the mucosa of the vagina and vulva.In the acute stage of inflammation mechanical removal of plaque is accompanied by damage to the mucous membranes and release of blood.
Candidiasis can occur in chronic and erased.The smaller the pathological process is present in the vagina, the smaller the symptoms it causes.The disease tends to recur.