10 Home Remedies for an Itching Vagina

Baking soda, probiotics, and antifungal creams are just a few of the home remedies that can help relieve your vaginal itching. Douches and feminine hygiene sprays, however, are not.

Vaginal itching can be a symptom of many conditions. It could be caused by something like vaginal dryness or chemical irritants, such as the ones found in scented soaps. Itching can also be the result of a yeast infection, bacterial vaginosis, a sexually transmitted infection (STI), or something else.

There are many home remedies for an itchy vagina, but the remedy you choose will depend on the cause of the itch.

A note on language

At Healthline, we respect and acknowledge an individual’s sex, gender, and sexual orientation. Throughout this article, we are using the term ‘women’ and ‘female’ as the sex assigned at birth as most studies we source use these terms. However, this article pertains to anyone who has a vagina.

Was this helpful?

Vaginal itchiness is often due to one of the following common causes.

Yeast infection

If you have a vagina, there’s a chance that you’ll get a yeast infection at some point in your life.

Yeast infections are caused by Candida, a naturally occurring microorganism in the vaginal area. Changes in medications, hormones, or a soap or spray can make a yeast infection more likely.

Healthy vaginas naturally have Candida in them, but when this microorganism overgrows, it can cause a yeast infection. This can cause an itching or burning sensation in the vagina.

Other than itching, yeast infections can cause you to have a thick, white, cottage cheese-like discharge.

Bacterial vaginosis

Bacteria naturally grow in your vagina to keep it healthy. But when the bacterial makeup is unbalanced, certain kinds of bacteria may become overgrown, most commonly Gardnerella vaginalis. Douching, not using condoms, and having multiple sex partners can increase the risk of having bacterial vaginosis.

Bacterial vaginosis is often accompanied by a fishy odor, burning during urination, and discharge that’s gray, white, or green.

Vaginal dryness

This is a symptom of many conditions. It can cause your vagina to feel itchy inside. It can also cause discomfort during sex or masturbation, as there will be more friction during penetration, which can irritate your skin.

Water-based lubricants can help with vaginal dryness. Estrogen creams were also found to improve vaginal dryness and itching in a 2017 study done on 50 Indian women. You can visit your doctor if it seems to be a consistent problem for you.

Exposure to irritants

The skin near your vulva and vagina is sensitive. Irritating chemicals in pads, intimate washes, sprays, and more can irritate the skin and cause an itchy vagina. This is why it’s recommended that you avoid using anything other than water to wash your vulva.

It’s also possible to have an allergic reaction to the contents of intimate washes and menstrual products.

If you suspect your pad is irritating your skin, try a different brand, or switch to tampons or a menstrual cup.

Skin conditions

Skin conditions can affect your pubic area and the skin around your vulva, leading to itchiness.

Some skin conditions that may cause vaginal itching may include:

• eczema
• dermatitis
• psoriasis
• scabies
• hives
• dry skin

If you suspect you have a skin condition, speak with your doctor or dermatologist.

Low estrogen levels

Although more common in young and perimenopausal females, low estrogen levels can be experienced at any age.

Estrogen plays a major role in maintaining vaginal secretions. These vaginal secretions lubricate the vaginal wall, reducing friction during sexual intercourse. Low estrogen levels can reduce the natural lubrication in the vagina. This can lead to vaginal dryness, which can result in irritation and itching, especially during sex.

Other symptoms of low estrogen can include irregular or absent periods, fatigue, and hot flashes.

STIs

A number of STIs could cause vaginal itching. These include:

• chlamydia
• genital warts
• gonorrhea
• genital herpes
• trichomoniasis
• pubic lice

The above conditions require medical attention, so speak with your doctor if you think you have an STI.

While an itchy vagina can often be treated by home remedies, you might have to see a doctor if you have certain symptoms. These symptoms include:

• pain or burning during sex or urination
• pain in the genital area or pelvic region
• genital redness or swelling
• blisters or strange spots on your vulva
• unusual vaginal discharge, especially discharge that’s green, yellow, or gray
• discharge that looks frothy or has a cottage cheese–like texture
• a foul odor

Typically, your doctor will ask about your symptoms and take a look at your medical history. They might perform a pelvic exam, which involves examining your vulva and vagina.

If you don’t already have an OB-GYN, the Healthline FindCare tool can help you connect to physicians in your area.

There’s a lot of unreliable information on the internet when it comes to treating vaginal itch. Some remedies are worse than others. Here are three you should always avoid.

Douches and feminine hygiene sprays

Lots of feminine hygiene sprays contain perfumes and ingredients that can worsen itch and inflame the delicate skin around the vagina and genital area.

Most doctors also recommend that you don’t douche. Douching can change the necessary balance of vaginal flora (bacteria that live in the vagina) and natural acidity in a healthy vagina.

Scented clothing detergents

Perfumes and synthetic ingredients are a common cause of genital itching. Look at the ingredients in your laundry soap or any soap in the bath. If it has ingredients you don’t recognize, ditch that brand.

A good resource is the Environmental Working Group, which lists allergens and other chemicals in specific brands of soap (among many other consumer products).

Talcum powder

There was a time in the not-too-distant past when it was believed talcum powder was a wonder product for moisture in hard-to-reach places.

It was used to diaper babies and for vaginal itch. After years of use, it was discovered to have a link to ovarian cancer, as this article explains.

Interested in other women’s health products?

We’ve got you covered. Our reviews and comparisons cover the top products for sexual wellness, total-body health, and more so you can find what’s right for you.

Was this helpful?

STIs, bacterial infections, and yeast infections can all lead to vaginal itchiness. In order to prevent these infections, you can do the following:

You can lower your risk of developing STIs by:

• getting tested with a new partner before engaging in sex
• using barrier methods (like condoms or dental dams) every time you have sex
• using condom-safe lubricant and avoiding oil-based lubes with latex condoms
• ensuring that you’re using condoms properly
• cleaning sex toys before and after sex, especially if you’re sharing them with a partner

You can prevent bacterial infections and yeast infections by:

• eating probiotic-rich foods
• taking a probiotic supplement
• wearing cotton underwear
• washing underwear in hot water
• replacing menstrual products frequently
• avoiding douches, scented tampons or pads, and fragranced vaginal washes
• immediately changing out of wet clothes or bathing suits
• avoid spending extended amounts of time in hot tubs or hot baths

Probiotic-rich foods can promote vaginal health by maintaining the “good bacteria” present in your vagina. These bacteria help prevent the overgrowth of yeast, which can cause a yeast infection.

Probiotic-rich foods include:

• yogurt
• kombucha
• kimchi
• sauerkraut
• miso

Other foods that are good for your vagina include:

• pure cranberry juice, which may promote urinary health
• sweet potatoes, which contain nutrients that may decrease your risk of bacterial vaginosis
• leafy greens, which contain nitrates to improve circulation and decrease vaginal dryness

Can you put itching cream on your vagina?

You shouldn’t put itching cream, known as hydrocortisone creams, inside your vagina. It can increase inflammation or cause atrophy since the skin on this part of the body is sensitive.

You can, however, use these creams on the outside of the genital area for relief.

Can you put Vaseline on your vagina to stop itching?

No. Vaseline, or petroleum jelly, is an oil-based ointment. There have been some studies that link Vaseline with an increased risk of vaginal health issues, such as bacterial vaginosis.

How can you stop itching down there at night?

Vaginal itching may seem worse at night because there are fewer distractions, and we tend to be relaxing before bed. Take a bath and change into cotton clothing. If you’re taking an over-the-counter medication, know that these treatments can make symptoms worse.

Scratching the area, or excessive bathing might make itching worse, according to a 2012 article.

There are many effective home remedies for an itchy vagina, from Greek yogurt to coconut oil. Some of these remedies may work better than others. Be sure to avoid methods like douching and using talcum powder.

If you have any unusual or unexplained symptoms, or if you’re simply wondering how to stop vaginal itching, see your doctor.

Read this article in Spanish.

10 Home Remedies for an Itching Vagina

Baking soda, probiotics, and antifungal creams are just a few of the home remedies that can help relieve your vaginal itching. Douches and feminine hygiene sprays, however, are not.

Vaginal itching can be a symptom of many conditions. It could be caused by something like vaginal dryness or chemical irritants, such as the ones found in scented soaps. Itching can also be the result of a yeast infection, bacterial vaginosis, a sexually transmitted infection (STI), or something else.

There are many home remedies for an itchy vagina, but the remedy you choose will depend on the cause of the itch.

A note on language

At Healthline, we respect and acknowledge an individual’s sex, gender, and sexual orientation. Throughout this article, we are using the term ‘women’ and ‘female’ as the sex assigned at birth as most studies we source use these terms. However, this article pertains to anyone who has a vagina.

Was this helpful?

Vaginal itchiness is often due to one of the following common causes.

Yeast infection

If you have a vagina, there’s a chance that you’ll get a yeast infection at some point in your life.

Yeast infections are caused by Candida, a naturally occurring microorganism in the vaginal area. Changes in medications, hormones, or a soap or spray can make a yeast infection more likely.

Healthy vaginas naturally have Candida in them, but when this microorganism overgrows, it can cause a yeast infection. This can cause an itching or burning sensation in the vagina.

Other than itching, yeast infections can cause you to have a thick, white, cottage cheese-like discharge.

Bacterial vaginosis

Bacteria naturally grow in your vagina to keep it healthy. But when the bacterial makeup is unbalanced, certain kinds of bacteria may become overgrown, most commonly Gardnerella vaginalis. Douching, not using condoms, and having multiple sex partners can increase the risk of having bacterial vaginosis.

Bacterial vaginosis is often accompanied by a fishy odor, burning during urination, and discharge that’s gray, white, or green.

Vaginal dryness

This is a symptom of many conditions. It can cause your vagina to feel itchy inside. It can also cause discomfort during sex or masturbation, as there will be more friction during penetration, which can irritate your skin.

Water-based lubricants can help with vaginal dryness. Estrogen creams were also found to improve vaginal dryness and itching in a 2017 study done on 50 Indian women. You can visit your doctor if it seems to be a consistent problem for you.

Exposure to irritants

The skin near your vulva and vagina is sensitive. Irritating chemicals in pads, intimate washes, sprays, and more can irritate the skin and cause an itchy vagina. This is why it’s recommended that you avoid using anything other than water to wash your vulva.

It’s also possible to have an allergic reaction to the contents of intimate washes and menstrual products.

If you suspect your pad is irritating your skin, try a different brand, or switch to tampons or a menstrual cup.

Skin conditions

Skin conditions can affect your pubic area and the skin around your vulva, leading to itchiness.

Some skin conditions that may cause vaginal itching may include:

• eczema
• dermatitis
• psoriasis
• scabies
• hives
• dry skin

If you suspect you have a skin condition, speak with your doctor or dermatologist.

Low estrogen levels

Although more common in young and perimenopausal females, low estrogen levels can be experienced at any age.

Estrogen plays a major role in maintaining vaginal secretions. These vaginal secretions lubricate the vaginal wall, reducing friction during sexual intercourse. Low estrogen levels can reduce the natural lubrication in the vagina. This can lead to vaginal dryness, which can result in irritation and itching, especially during sex.

Other symptoms of low estrogen can include irregular or absent periods, fatigue, and hot flashes.

STIs

A number of STIs could cause vaginal itching. These include:

• chlamydia
• genital warts
• gonorrhea
• genital herpes
• trichomoniasis
• pubic lice

The above conditions require medical attention, so speak with your doctor if you think you have an STI.

While an itchy vagina can often be treated by home remedies, you might have to see a doctor if you have certain symptoms. These symptoms include:

• pain or burning during sex or urination
• pain in the genital area or pelvic region
• genital redness or swelling
• blisters or strange spots on your vulva
• unusual vaginal discharge, especially discharge that’s green, yellow, or gray
• discharge that looks frothy or has a cottage cheese–like texture
• a foul odor

Typically, your doctor will ask about your symptoms and take a look at your medical history. They might perform a pelvic exam, which involves examining your vulva and vagina.

If you don’t already have an OB-GYN, the Healthline FindCare tool can help you connect to physicians in your area.

There’s a lot of unreliable information on the internet when it comes to treating vaginal itch. Some remedies are worse than others. Here are three you should always avoid.

Douches and feminine hygiene sprays

Lots of feminine hygiene sprays contain perfumes and ingredients that can worsen itch and inflame the delicate skin around the vagina and genital area.

Most doctors also recommend that you don’t douche. Douching can change the necessary balance of vaginal flora (bacteria that live in the vagina) and natural acidity in a healthy vagina.

Scented clothing detergents

Perfumes and synthetic ingredients are a common cause of genital itching. Look at the ingredients in your laundry soap or any soap in the bath. If it has ingredients you don’t recognize, ditch that brand.

A good resource is the Environmental Working Group, which lists allergens and other chemicals in specific brands of soap (among many other consumer products).

Talcum powder

There was a time in the not-too-distant past when it was believed talcum powder was a wonder product for moisture in hard-to-reach places.

It was used to diaper babies and for vaginal itch. After years of use, it was discovered to have a link to ovarian cancer, as this article explains.

Interested in other women’s health products?

We’ve got you covered. Our reviews and comparisons cover the top products for sexual wellness, total-body health, and more so you can find what’s right for you.

Was this helpful?

STIs, bacterial infections, and yeast infections can all lead to vaginal itchiness. In order to prevent these infections, you can do the following:

You can lower your risk of developing STIs by:

• getting tested with a new partner before engaging in sex
• using barrier methods (like condoms or dental dams) every time you have sex
• using condom-safe lubricant and avoiding oil-based lubes with latex condoms
• ensuring that you’re using condoms properly
• cleaning sex toys before and after sex, especially if you’re sharing them with a partner

You can prevent bacterial infections and yeast infections by:

• eating probiotic-rich foods
• taking a probiotic supplement
• wearing cotton underwear
• washing underwear in hot water
• replacing menstrual products frequently
• avoiding douches, scented tampons or pads, and fragranced vaginal washes
• immediately changing out of wet clothes or bathing suits
• avoid spending extended amounts of time in hot tubs or hot baths

Probiotic-rich foods can promote vaginal health by maintaining the “good bacteria” present in your vagina. These bacteria help prevent the overgrowth of yeast, which can cause a yeast infection.

Probiotic-rich foods include:

• yogurt
• kombucha
• kimchi
• sauerkraut
• miso

Other foods that are good for your vagina include:

• pure cranberry juice, which may promote urinary health
• sweet potatoes, which contain nutrients that may decrease your risk of bacterial vaginosis
• leafy greens, which contain nitrates to improve circulation and decrease vaginal dryness

Can you put itching cream on your vagina?

You shouldn’t put itching cream, known as hydrocortisone creams, inside your vagina. It can increase inflammation or cause atrophy since the skin on this part of the body is sensitive.

You can, however, use these creams on the outside of the genital area for relief.

Can you put Vaseline on your vagina to stop itching?

No. Vaseline, or petroleum jelly, is an oil-based ointment. There have been some studies that link Vaseline with an increased risk of vaginal health issues, such as bacterial vaginosis.

How can you stop itching down there at night?

Vaginal itching may seem worse at night because there are fewer distractions, and we tend to be relaxing before bed. Take a bath and change into cotton clothing. If you’re taking an over-the-counter medication, know that these treatments can make symptoms worse.

Scratching the area, or excessive bathing might make itching worse, according to a 2012 article.

There are many effective home remedies for an itchy vagina, from Greek yogurt to coconut oil. Some of these remedies may work better than others. Be sure to avoid methods like douching and using talcum powder.

If you have any unusual or unexplained symptoms, or if you’re simply wondering how to stop vaginal itching, see your doctor.

Read this article in Spanish.

Candles for thrush: list, comparison, treatment regimens

Where can I buy?

Encyclopedia

Diseases of the intimate zone

Vaginal candidiasis (thrush) is an infectious disease of the mucous membrane of the female genital organs caused by fungi of the genus Candida and their subspecies, most often albicans.

The author of the article

Molchanov Oleg Leonidovich

Gynecologist, reproductive specialist, doctor of medical sciences.

Audio version of the page:

Symptoms of thrush

Fungi of the genus Candida normally live in the vagina without causing discomfort. However, under the influence of adverse factors (stress, chronic diseases, change of sexual partner, pregnancy) there is a decrease in local and general immunity, which leads to the active reproduction of Candida fungi, causing symptoms of the disease.

The main symptoms of thrush:

Redness and swelling of the mucous membrane of the vagina and external genitalia

Burning during urination (in some cases)

Pain during intercourse

There is an asymptomatic course of the disease.

Diagnosis of thrush (vaginal candidiasis)

Vaginal candidiasis is a disease that has fairly obvious signs. These are the characteristic complaints of the patient, the features of the onset of the disease and concomitant factors (data from the history of the disease), the clinical manifestations identified by the doctor during a gynecological examination (hyperemia, mucosal edema, white patches on the walls of the vagina).

Regardless of these features, confirmation of the diagnosis must be based on laboratory data. The fact is that there are a number of similar diseases, which can be distinguished from thrush precisely with the help of laboratory diagnostics.

In this case, the gynecologist, while examining the woman on the chair, takes smears, which confirm the presence of fungi. In addition to the smear, there are test systems that determine the number of fungi and their sensitivity to drugs, which will help prescribe the right treatment.

Treatment of thrush (vaginal candidiasis)

Antifungal drugs are used to treat thrush, which are available in the form of capsules, creams, solutions and vaginal suppositories. Preparations can be with one active ingredient, or combine several components, for example, have antifungal and antibacterial, as well as antiviral properties. Below are the main groups of antifungal drugs most commonly used in our country.

Groups of antifungal drugs used in the Russian Federation:

1. Imidazole drugs (sertaconazole, clotrimazole, ketoconazal, econazole)
2. Triazole preparations (fluconazole, itraconazole)
3. Polyene preparations (nystatin, natamycin)
4. Antiseptic preparations (iodine preparations, dequalinium chloride)

Consider suppositories for topical treatment of vaginal candidiasis. The properties of the preparations will differ depending on the active substance or the combination of several components.

Suppositories based on imidazole drugs for the treatment of thrush

Suppositories based on sertaconazole (Zalain®)

Sertaconazole is an antifungal agent (antimycotic), consisting of two components: benzothiophene and imidazole.

Peculiarities of treatment of thrush with drugs containing sertaconazole. Watch in a short video of the professor, doctor of medical sciences, Shikh Evgenia Valerievna.

Mechanism of action of suppositories based on sertaconazole (Zalain®)

The special chemical structure of the drug allows it to have a triple effect on Candida fungi, namely:

• stop their cell reproduction (fungistatic effect)
• death of fungi (fungicidal effect), which reduces the risk of return (relapse) of thrush
• preventing the transition of a fungal cell into a pathogenic form ¹²

Sertaconazole readily penetrates the mucous membrane of the vaginal wall ¹ due to the property of lipophilicity – the ability to dissolve in lipid (fat) cell structures.

The drug has an antimicrobial effect against both fungi and some bacteria that cause infectious diseases in gynecology (Streptococcus spp., Staphylococcus spp) ⁹ .

Zalain ^® Suppositories for the treatment of vaginal candidiasis

Dosage and administration of Zalain suppositories ^®

When applied topically to treat vaginal infections caused by fungi of the genus Candida, the drug is applied once, by inserting a suppository into the vagina, preferably at night. Sertaconazole, which is part of Zalain ^® suppositories, dissolves well in lipid (fat) cell structures, due to which it remains in the vaginal mucosa for a long time (7 days) in therapeutic concentration, providing a triple antifungal effect.

If the clinical symptoms of thrush in a woman persist, it is possible to re-administer the Zalain ^® vaginal suppository after 7 days. Side effects are rare ⁹ .

Only 1 suppository per course

Local effect of the drug

No absorption of sertaconazole into the bloodstream ¹³

Can be used during pregnancy and lactation
*if the benefits outweigh the risks

Where to buy Zalain ^® Suppositories for the treatment of vaginal candidiasis

Instruction

How does the Zalain suppository work and why is one suppository enough for the entire course of treatment for thrush?

Vaginal suppositories and tablets based on clotrimazole for the treatment of thrush

Clotrimazole is an antifungal agent (antimycotic) for topical use from the group of imidazoles.

Mechanism of action of clotrimazole

The main mechanism of action is to disrupt the ability of fungal cell reproduction (fungistatic effect). In high concentration, the drug causes the death of the fungus (fungicidal effect) ¹³ .

Dosage and administration of vaginal suppositories and tablets based on clotrimazole (100 mg)

The drug is indicated for fungal infections of the mucous membranes, vulvovaginitis, trichomoniasis, prophylaxis before childbirth or gynecological operations. The drug is used 1 suppository 2 times a day for 3 days or 1 suppository per day for 6 days ¹³ .

Candles for thrush based on econazole

Econazole is an antifungal and antibacterial drug. Active against yeast-like fungi and gram-positive bacteria ¹⁴ .

The mechanism of action of suppositories based on econazole

Econazole prevents the reproduction of fungal cells (fungistatic effect), in high concentration causes the death of the fungus (fungicidal effect).

Dosage regimen and course of administration

Used for vaginal candidiasis. The standard course of treatment is 3 days, 1 suppository at night in the vagina ¹⁴ .

Not recommended during pregnancy. Contraindicated in breastfeeding ¹⁴ .

Suppositories for thrush based on polyene preparations

Suppositories based on nystatin

Nystatin is a polyene antibiotic.

Mechanism of action of nystatin

The main mechanism of action of nystatin is to stop the growth of the fungal cell (fungistatic effect) ¹⁵ . Active against fungi of the genus Candida.

Dosage regimen and course of administration

The drug is prescribed for vaginal candidiasis. The course of treatment is 10-14 days, 1 suppository 2 times a day ¹⁵ .

The drug has important limitations ¹⁵ :

Contraindicated in pregnancy and breastfeeding.

There is a risk of formation of resistant forms of fungi, which reduces the effectiveness of the drug and requires its withdrawal.

Long-term treatment – up to 14 days ⁷ .

Suppositories for thrush based on antiseptic preparations

Povidone-iodine is an antiseptic preparation, which is a combination of iodine and a polymer (povidone). The drug has antibacterial, antifungal and antiviral properties.

The mechanism of action of suppositories based on povidone-iodine

The mechanism of action is based on iodine damage to the cell wall of Candida fungi with the help of special substances (iodamines), which leads to their death ¹⁰ .

Dosing and suppositories based on povidone-iodine

The drug is prescribed for vaginal candidiasis, bacterial vaginosis, mixed infections, for prophylaxis before surgical or diagnostic interventions in the vagina ¹⁰ .

The course of treatment is 7 days – 1 suppository should be administered daily, preferably at bedtime. Side effects include itching and burning in the vagina.

Povidone-iodine suppositories are contraindicated in pregnant and lactating women, as well as in patients with thyroid diseases ¹⁰ .

Dequalinium chloride suppositories

Dequalinium chloride antiseptic . It has an antibacterial effect against gram-positive and gram-negative bacteria, has antiviral and antifungal properties ¹⁶ .

The mechanism of action of suppositories based on dequalinium chloride

The antiseptic causes a violation of the fungal cell enzymes, which subsequently leads to its death ¹⁶ .

Dosage regimen and course of administration

It is prescribed for bacterial, fungal or mixed infections of the vagina, recommended for sanitation before gynecological operations or childbirth ¹⁶ .

Use 1 vaginal tablet at night for 6 days.

Among the shortcomings of the drug, it should be noted:

1. Possible adverse reactions in the form of increased vaginal discharge, burning and itching ¹⁶ .

Output. Advantages of suppositories with sertaconazole (Zalain®) for the treatment of thrush (vaginal candidiasis)

Thus, the advantages of sertaconazole (Zalain ^® ) in comparison with other antifungal drugs are:

Due to the combination of two active ingredients in one sertaconazole molecule, Zalain ^® contributes to: blocking the reproduction of fungal cells and their death, which reduces the risk of recurrence of vaginal candidiasis.

Anti-inflammatory effect due to inhibition of fungal cell growth.

Can be used during menstruation.

One day intake.

Zalain ^® suppositories have virtually no side effects, so the drug can be used in the 2nd and 3rd trimesters of pregnancy if the potential benefit to the mother outweighs the possible risk to the fetus or child ² .

Thus, according to the results of scientific studies, among the most common antifungal drugs, sertaconazole (Zalain ^® ) showed good results in the treatment of ³ .

Zalain ^® suppositories meet all the requirements for topical preparations for the treatment of fungal infections of the vagina.

Frequently asked questions

Are there effective suppositories for thrush with a course of treatment in 1 day?

Answer: Yes, these are Zalain ^® vaginal suppositories with the active ingredient sertaconazole, 1 suppository per course. The drug dissolves well in lipid (fatty) cell structures, due to which it remains in the vaginal mucosa for a long time (7 days) at a therapeutic concentration, having a triple mechanism of action on Candida fungi. It is possible to use the drug during menstruation and during pregnancy, but it is imperative to consult with your gynecologist regarding the individual characteristics of the body.

Is it true that the use of folk remedies for the treatment of thrush is more effective than preparations (vaginal suppositories)?

Answer: Candidiasis is a disease that requires proper diagnosis in order to prescribe effective antifungal therapy. Treatment is prescribed only by a doctor. It is strongly not recommended to self-medicate, as this is fraught with the appearance of complications.

Is sexual partner treatment required?

Answer: The partner needs to visit a urologist to determine the need for therapy.

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References

1. Voznesenskaya N.V., Kharitonov V.M., Burganova R.F., Istomina N.S., Saakyan K.G. Sertaconazole (Zalain) in the treatment of vulvovaginal candidiasis in pregnant women // Ulyanovsk Medical and Biological Journal / / 2013. – No. 2. – pp. 36-39
2. Prilepskaya V.N., Kira E.F., Apolikhina I.A., Bairamova G.R., Gomberg M.A., Minkina G.N. Clinical recommendations for the diagnosis and treatment of diseases accompanied by pathological discharge from the genital tract. 2nd ed. M.; 2019. 56 p.
3. Khashukoeva A.Z., Safonina M.S., Andreasyan G.O., Myasoutova A.I., A.V. Overko. Therapeutic approaches in the treatment of vulvovaginal candidiasis //Medical Council// 2020 (13). – S. 138-146.
4. Palacín C., Tarragó C., Ortiz J.A. Sertaconazole: pharmacology of a gynecological antifungal agent. Int J Gynaecol Obstet. 2000;71(S1):37–46.
5. Tikhomirov A.L., Sarsania S.I., Tuskaev K.S. The relevance of the use of povidone-iodine in the practice of an obstetrician gynecologist // BC. -2014.-№1.
6. Register of Medicines (RLS) of Russia.
7. Vidal Medicines Handbook.
8. Chaplygin A.V., Ravodin R.A., Sogomonyan L.M., Chaplygin K.A., Serebryakova I.S., Mirzoyan V.L., Vashkevich A. A., Khanzhina N.V., Fedorovskaya O.V. Local therapy of vulvovaginal vaginosis // Problems of medical mycology. – 2020. -V.3. – 22.-№3.- S. 145
9. According to the instructions for medical use of the drug Zalain® Suppositories. Reg. Number: ПN015678/01, ЛС-000021
10. Betadine® suppositories. Instructions for medical use (RN: P No. 015282/01).
11. Expert Rev. Anti infection. Ther. 11(4), 347–358 (2013) Sertaconazole: an antifungal agent for the topical treatment of superficial candidiasis
12. Carrillo-Muñoz AJ, Tur-Tur C, Giusiano G, Marcos-Arias C, Eraso E, Jauregizar N, Quindós G. Sertaconazole: an antifungal agent for the topical treatment of superficial candidiasis. Expert Rev Anti Infect Ther. 2013 Apr;11(4):347-58. doi: 10.1586/eri.13.17. PMID: 23566144.
13. Instructions for medical use Clotrimazole, RLS.
14. Instructions for medical use Econazole, radar.
15. Instructions for medical use Nystatin, radar.
16. Instructions for medical use Dequalinium chloride, RLSDThis article is an expression of the author’s position

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Itching and burning in the intimate area (in the vagina): causes, treatment

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• Methods of treatment
• Prophylaxis

Itching in the intimate area in women is associated with inflammation of the skin and mucous membranes of the external genitalia. Burning is rarely the only symptom, usually associated with abnormal discharge, swelling and redness. The causes of itching and burning are diverse, in most cases this is a consequence of infection of the genital organs. To determine the cause of unpleasant symptoms, you need to contact a gynecologist or venereologist Source:
Gynecology. National leadership. Savelyeva G.M., Sukhikh G.T., Serova V.N., Radzinsky V.E. 2019.. The doctor prescribes an examination, and, based on its results, selects a treatment regimen.

Causes

Causes of itching and burning are divided into physiological, associated with natural processes in the body, and pathological, which include various diseases. Physiological itching in the vagina in most women is caused by dryness of the mucous membrane against the background of menopause. The natural extinction of hormonal function leads to a decrease in the secretion of mucus by the glands of the vestibule of the vagina. Discomfort occurs after taking a shower, sexual intercourse.

Due to hormonal changes in the body, itching also bothers pregnant women. Lack of estrogen makes the genital mucosa dry and sensitive. For some women, irritation is a sign of premenstrual syndrome. Particularly sensitive mucous membranes may react with itching to shaving the external genitalia.

Burning of the vaginal mucosa can be associated with improper selection of intimate hygiene products. Ordinary soap has an alkaline reaction, and if you use it to wash the external genitalia, the mucous membrane dries up and becomes especially sensitive. Source:
Itching of the vulva. Zhukembaeva A., Baubekova G., Abdukhanova M., Ayekesheva A., Koilybaeva P., Murzaliev S., Shadimetova S. Bulletin of KazNMU. 2013. No. 3-2. pp.10-12. Itching can also occur in the opposite situation – with insufficient intimate hygiene.

Burning sensation, rash and swelling of the genital mucosa are typical for allergies – to vaginal medicines, hygiene products, synthetic underwear.

Pathological causes include various diseases of the external genitalia:

• Candida infection, better known as thrush, is a fungal infection characterized by profuse curdled vaginal discharge;
• gonorrhea is a bacterial infection accompanied by thick purulent discharge;
• trichomoniasis is a protozoan infection that results in a frothy, foul-smelling discharge;
• chlamydia is a bacterial infection with liquid mucopurulent secretions;
• nonspecific vaginitis – inflammation is caused by opportunistic flora, it is characterized by abundant mucous leucorrhoea with an unpleasant odor;
• genital warts – skin growths of viral origin;
• genital herpes – a viral infection in which vesicles and sores appear on the skin and mucous membrane of the genital organs;
• bartholinitis – inflammation of the Bartholin gland in the vestibule of the vagina;
• urethritis, cystitis, cervicitis cause burning or pain in the entire perineum, accompanied by profuse vaginal discharge, cloudy urine;
• endocrine diseases impair blood circulation in the skin and mucous membranes, it becomes dry and itchy;
• stress and depression can cause neurogenic itching.

Burning and itching in various diseases disturb a woman constantly, or intensify after urination, sexual intercourse, baths.

Why the symptoms are dangerous

Genital itching is a symptom that indicates the need to visit a doctor. It occurs in many diseases, and the progression of some of them is a serious danger. Source:
Bacterial vaginosis and vaginitis. A new look at an old problem. Donnikov A.E. Pharmateka. 2016 .. The sensation of itching itself is not dangerous, with the exception of further damage to the mucous membrane during scratching.

Complications arising from diseases of the genital organs:

• upward spread of the infection, damage to the uterus, ovaries;
• transmission of infection, mainly fungal and herpetic, to the skin of the abdomen, thighs;
• chronic inflammation can provoke malignant degeneration of cells;
• bleeding from the damaged mucosa gradually leads to the development of anemia;
• infections in pregnant women can cause fetal malformations and fetal disease.

Itching in most cases is of infectious origin, and if a woman does not pay attention to the symptom and does not go to the doctor, she can infect her sexual partner.

Examination

The cause of discomfort in the intimate area is determined by a gynecologist or venereologist. To begin with, the doctor asks the woman, clarifies the nature of the complaints:

• how long ago the discomfort appeared;
• additional complaints other than itching or burning;
• what preceded the onset of symptoms;
• whether the woman was treated by something on her own.

The nature of the symptoms already suggests the cause of their appearance. Itching in the intimate area with pathological secretions indicates an inflammatory, often infectious nature of the disease. The cause of itching without discharge can be hormonal imbalance, allergies, or improper hygiene of the intimate area.

Next, the doctor examines the genitals on the gynecological chair. The following signs are important for diagnosis:

• swelling and redness of the vulva;
• rash on mucous or skin;
• abnormal discharge;
• polyps, tumors.

During the examination, the gynecologist takes a smear from the vagina – for microflora, purity and atypical cells. The doctor also assesses the condition of the uterus and ovaries by bimanual palpation. Based on the results of the examination, the doctor prescribes an additional examination:

• laboratory examination of the taken vaginal discharge – detects pathogenic microorganisms, cancer cells;
• study of the hormonal profile to determine the level of estrogens, progesterone;
• ultrasound examination of the pelvic organs – reveals inflammation of the uterus, tubes, ovaries;
• colposcopy – examination of the vaginal mucosa with an endoscope, you can see pathological foci.

Methods of treatment

Burning and itching in the intimate area cause severe discomfort, so a woman should begin to deal with symptoms even before visiting a doctor. The following methods are suitable for this:

• refusal of soap, gel for intimate hygiene, washing with clean boiled water;
• use of natural cotton underwear;
• Avoid panty liners and instead wash your face every time you go to the toilet.

Further treatment for itching in the intimate area of ​​a woman is prescribed by a doctor, it will depend on the cause of the problem. In most cases, conservative treatment is sufficient:

• oral and topical antibiotics in the form of suppositories or vaginal tablets – if a bacterial infection is confirmed Source:
  Use of a combination of metronidazole and miconazole in the correction of vaginal dysbiosis. Dobrokhotova Yu.E., Ivanova I.I. breast cancer. Mother and child. 2018. No. 1. pp.82-87;
• antivirals for the treatment of herpes infection;
• antifungal medicines for thrush;
• suppositories with probiotics for nonspecific vaginitis, colpitis;
• antihistamines, corticosteroids for systemic skin diseases, allergies;
• antiseptic washing solutions – chamomile and sage decoction, chlorhexidine Source:
  Rational pharmacotherapy of the main diseases of the vagina. Kedrova A.G. Gynecology. 2014. No. 1. pp.123-126.

A gynecologist prescribes intimate hygiene products to a woman. They differ from the usual ones in that they contain an increased dose of lactic acid, lactobacilli. You can buy such funds at a pharmacy.

Surgical treatment is indicated for genital warts, polyps or mucosal tumors. The doctor removes the growths with a scalpel or liquid nitrogen. An operation may be needed for purulent bartholinitis. The doctor dissects the inflamed gland, releases pus and rinses the cavity with an antiseptic.

Prevention

Prevention of burning, discomfort in the intimate area includes the following measures:

• careful observance of intimate hygiene, use of gel and soap with lactobacilli, lactic acid;
• wearing underwear made from natural fabrics;
• timely replacement of panty liners;
• observance of hygiene of sexual contacts;
• use of barrier contraception in contacts with unfamiliar partners;
• annual medical examination by a gynecologist;
• timely treatment and control of endocrine diseases.

Article sources:

1. Gynecology. National leadership. Savelyeva G.M., Sukhikh G.T., Serova V.N., Radzinsky V.E. 2019.
2. Itching of the vulva. Zhukembaeva A., Baubekova G., Abdukhanova M., Ayekesheva A., Koilybaeva P., Murzaliev S., Shadimetova S. Bulletin of KazNMU. 2013. No. 3-2. p.10-12
3. Rational pharmacotherapy of the main diseases of the vagina. Kedrova A.G. Gynecology. 2014. No. 1. p.123-126
4. Bacterial vaginosis and vaginitis. A new look at an old problem. Donnikov A.E. Pharmateka. 2016.
5. Use of a combination of metronidazole and miconazole in the correction of vaginal dysbiosis. Dobrokhotova Yu.E., Ivanova I.I. breast cancer. Mother and child. 2018. No. 1. p.82-87

The author of the article

Shishkina Yulia Sergeevna

Specialty: Obstetrician-gynecologist. PhD

Experience: 11 years

Article published on : 24/04/2023
Last updated : 24/04/2023

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