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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itching In Labia And Vulva?

Hi! I m a 20 year old sexually active female. Never had an STI, nor has my boyfriend. I ve had a few bladder infections and one yeast. So I know my issue isn t any of that. But. My labia/vulva are freakishly itchy. It doesn t hurt to pee or have sex. But the skin toward the hair line is almost splitting? It s not bleeding though. Not sure what it is? Dry skin or something? Any suggestions on what I should do? What it might be?
Fri, 25 Sep 2015
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General & Family Physician 's  Response
Hi and thanks for sharing your concern with HCM.

Itching in the labia or vulva can be due to contact dermatitis due to irritation caused by the material of the inner garment or residual detergent, pantyliner, feminine wash or even after shaving. A less pleasant possibility is crabs or pubic lice. Infestation with lice (phthirus pubis) can cause severe itching. These usually spread via sexual contact. They can also be spread through linen and blankets (less common).

Consider the possibilities. Use cotton undies and a gentle detergent (be sure you don't use too much). Change pantyliners regularly and use a pH friendly feminine wash. If you shave, change your shaving blade. Some people's skin cannot withstand shaving and as shaved hair can thicken / become ingrown - consider waxing if this is your problem.You could use a gentle topical steroid cream like hydrocortisone and apply it twice daily to the area where the skin is splitting. Once the skin is better, use a fragrance free moisturizer and apply daily.

Regarding a possible lice infestation, use a magnifying glass and flashlight and carefully examine yourself. Lice are pale gray but turn black after feeding off blood. Their eggs look like tiny white specks and are often found at the roots of pubic hair. If you do have an infestation, visit your pharmacy and request a over-the-counter topical product to rid yourself of the infestation. You will also need to decontaminate your clothing and linen to rid yourself of the infestation.

If there is no improvement after a few days, do visit your regular doctor.
I hope this answers your question satisfactorily. Thanks
Dr Shabnam
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What Causes Itching In Labia And Vulva?

Hi and thanks for sharing your concern with HCM. Itching in the labia or vulva can be due to contact dermatitis due to irritation caused by the material of the inner garment or residual detergent, pantyliner, feminine wash or even after shaving. A less pleasant possibility is crabs or pubic lice. Infestation with lice (phthirus pubis) can cause severe itching. These usually spread via sexual contact. They can also be spread through linen and blankets (less common). Consider the possibilities. Use cotton undies and a gentle detergent (be sure you don t use too much). Change pantyliners regularly and use a pH friendly feminine wash. If you shave, change your shaving blade. Some people s skin cannot withstand shaving and as shaved hair can thicken / become ingrown - consider waxing if this is your problem.You could use a gentle topical steroid cream like hydrocortisone and apply it twice daily to the area where the skin is splitting. Once the skin is better, use a fragrance free moisturizer and apply daily. Regarding a possible lice infestation, use a magnifying glass and flashlight and carefully examine yourself. Lice are pale gray but turn black after feeding off blood. Their eggs look like tiny white specks and are often found at the roots of pubic hair. If you do have an infestation, visit your pharmacy and request a over-the-counter topical product to rid yourself of the infestation. You will also need to decontaminate your clothing and linen to rid yourself of the infestation. If there is no improvement after a few days, do visit your regular doctor. I hope this answers your question satisfactorily. Thanks Dr Shabnam