What is the cause and treatment for irritant dermatitis?
For 2 weeks I was very uncomfortable I felt minty sort of stinging burning but best described as if I had a breath mint there and I was hot . I used cortisone and antibiotic ointment. After 2 weeks it had became much better still very red and warm with very little discomfort and a slight minty burning sensation. Some days I am very red and the next day I can be pink. For the past 4 months when my period comes I am very irritated with sharp pains anywhere in my vulva I can't pin point where it is coming from. every month i have 2 weeks being worried then 2 weeks where I feel fine but when I look I see the redness has not gone. I have no pain during sex or urinating. This has been going on for 4 months coming and going also I believe my skin in my clitoral and urethane area is kinda yellowish. I have treated myself for a yeast infection no luck, I took a swab test and I have no bacteria. I have been married for 10 years and have no stds. This is mainly a strong to non existent minty feeling until my period comes, they stinging, burning sharp pains. I have no idea what this could be..
With the research I've done I think it maybe vulvodynia. Nerve damage from laser hair removal and then the chemical burn? Both hair removal and chemical burn can cause it from what I've read or I think maybe cytolyc vaginosis? I'm so lost! Over all I'm 36 , slender, healthy with no pass medical issues and not on any medications. I have no insurance right now and need to know what this is. I am hoping you can help me. I have several pictures.
Possibility of Irritant Dermatitis
Hi. Thanks for posting your concern at HCM.
You have pretty much used everything by now.
Going through your query, I could relate this type of presentation to few of my patients who practice over enthusiastic hygiene which might irritate the mucosa e.g repeated washing with soaps, using either dettol or savlon or tea tree oil for cleansing etc thus leading on to an irritant dermatitis which confuses both the patient as well as the clinician, as to what is the real cause?? without realising that the overaggressive hygiene that they practice is itself the cause.
-Avoid repeated douching, soaps or body wash, in there. Instead you can use just plain water for gentle cleansing.
-If I was your treating doctor I would have advised you to apply a mild to moderately potent topical steroid like beclomethasone twice daily for 7 days, preferably in combination with topical antifungal like clotrimazole. Combining antifungal with steroid would make sense because candida can cause superimposed infection over the already irritated skin.
This is so annoying I want it gone..
Possibility of Vulvodynia
You don't seem to have any organic cause for the symptoms, vulvodynia is a definite possibility here.
Causes can be nerve irritation, hormonal changes, Allergies or irritation to chemicals or other substances, Hypersensitivity to yeast infections, Muscle spasms etc
Symptoms of vulvodynia usually begin suddenly and can last anywhere from months to years. Although the vulva usually appears normal, it may look a bit inflamed or swollen.
A burning pain is the single most common symptom of vulvodynia.
There is no specific treatment for vulvodynia, however, soaking in lukewarm or cool sitz baths may help.
Orally, Vit B12 in high doses e.g 1500 mcg per day for a month, may help.
Tricyclic antidepressants like Amitryptiline 25 mg once daily, increased to thrice daily if required, is also worth trying.
Anticonvulsants like carbamzepine 200 mg twice daily and gabapentin 300 mg once daily and increased to 300 mg thrice daily are other options.
The slight yellowish tinge that you notice is a normal variation
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