Burning and ItchingVagina-Why and What Can be Done ?

 Author- Dr Richa Sharma(IVFConsultant Medicover Gurgaon) 

  Burning or pricking sensation or pins and needle sensation accompanied with itching is a very common complaint in females of all age group and a large fraction feel shy of it in reporting.Its better to consult your health care provider at earliest than piling up the problem. 

Queries which come in minds of patients are- 

1)  What could be reason of itching and Burning ?

2)  Has my periods anything to do with it ?

3)  Will it affect my fertility in future ? 

4)  How it can be prevented ?

5)  How it can be treated ?

Here are the answers-

Itching or burning or irritation anywhere on the body causes discomfort and is a sign of infection.More than its pathology in extreme situations patient may be affected psychologically only.So its important to break Itch scratch cycle.More so when its infective in origin

Causative factors-

To begin with we have to see for common things first.Certain changes in life style only may help.There is concept of Menstrual hygiene, sexual hygiene and genital hygiene.Taking care of all these alone may help majority

Lets go into depth of factors.Cause can be organic or inorganic which may act as irritant or allergen or can be infective agent causing inflammation changes locally so releasing chemicals which triggers itch sensation .This happens more so in humid climates and in lack of air circulation

1. Candidial Infection- 

Yeast ,bacterial vaginosis.Patient often gives history of smelly discharge per vaginum

2.Urinary infection- may present with burning and frequent micturition

3.Other infections like- Chlamydia, herpes, Genital warts,STDs(Sexually Transmitted Diseases)

4. Pregnancy

5.Sexual encounters with multiple partners

6.Antibiotic resistance or drug interactions as by mixing different pathies

7.Menopause ,breast feeding

8.Immune disorders

9.Diabetes mellitus

10.Chemical irritants- A number of chemical substances, including creams, condoms, douches(can alter PH of vagina destroying useful bacteria causing proliferation of harmful ones), contraceptive foams, laundry detergents, soaps, scented toilet paper, and fabric softeners can irritate the vagina and vulva.

11.Skin disorders like Lichen sclerosis 

12. SexualAbuse especially in young girls 

13. Premenstrual Syndrome(PMS)   

How to prevent ?

Prevention is better than cure

Here are a few tips for preventing and treating vaginal irritation at home: -

 1.Avoid scented pads or toilet paper, creams, bubble bath, feminine sprays, and douches. 

2.Use water and a plain, unscented soap to regularly clean your external genital area. But don't wash more than once a day. Doing so can increase dryness. 

3.Always wipe from front to back after having  motion. 

4.Wear cotton   panties (no synthetic fabrics), and change your underwear every day. 

5.Do not   douche.

6.Keep Pubic hairs trimmed.Excessive growth with add on sweating and lack of hygeine can invite infection

7.Change the  diapers of  small girls regularly.

8. Use condoms during sexual intercourse to prevent sexually transmitted diseases.

9. For menopausal women,Your Doctor  may advise you certain hormonal remedies

10. Don't scratch  as you can further irritate the area. 

Affect on future fertility-

 That depends on the cause.If its infection like STDs then it may impact your genital organs and fallopian tubes so impairing chances for natural pregnancy 

 Correlation To MenstrualPeriods ?

Some patients may have such symptoms as part of Premenstrual syndrome which needs different line of treatment