| Vulvitis
What is vulvitis?
Vulvitis is simply an inflammation of the vulva, the soft folds of skin
outside the vagina. This is not a condition, but rather a symptom that
results from a host of diseases, infections, injuries, allergies, and
other irritants. Diagnosing and treating this condition can be frustrating
because it is often difficult to determine the specific cause of the
irritation.
What causes vulvitis?
Vulvitis may be caused by one or more of the following:
scented or colored toilet paper
perfumed soaps or bubble baths
shampoos and hair conditioners
laundry detergents (especially enzyme-activated "cold water"
formulas)
vaginal sprays, deodorants, douches, and powders
spermicides
douches that are too strong or used too frequently
hot tub and swimming pool water
synthetic undergarments without a cotton crotch
rubbing against a bicycle seat
wearing a wet bathing suit for a long period of time
horseback riding
Who is at risk for vulvitis?
Any woman with certain allergies, sensitivities, infections, or diseases
can develop vulvitis. Girls who have not yet reached puberty and
postmenopausal women sometimes develop vulvitis, possibly because of
inadequate levels of estrogen.
What are the symptoms of vulvitis?
The following are the most common symptoms for vulvitis. However, each
individual may experience symptoms differently. Symptoms of vulvitis may
include:
- redness and swelling on the labia and other parts of the vulva
- clear, fluid-filled blisters (present when the vulva is particularly
irritated)
- sore, scaly, thickened, or whitish patches (more prevalent in
chronic vulvitis) on the vulva
The symptoms of vulvitis may resemble other conditions or medical
problems. Always consult your physician for a diagnosis.
How is vulvitis diagnosed?
In addition to a complete medical history and physical and pelvic
examination, diagnostic procedures for vulvitis may include the following:
- blood tests
- urinalysis
- tests for sexually transmitted diseases (STDs)
- Pap test - test that involves microscopic examination of
cells collected from the cervix, used to detect changes that may be
cancer or may lead to cancer, and to show noncancerous conditions,
such as infection or inflammation.
Treatment for vulvitis:
Specific treatment for vulvitis will be determined by your physician
based on:
- your age, overall health, and medical history
- cause of the disease
- type and severity of the symptoms
- your tolerance for specific medications, procedures, or therapies
- expectations for the course of the disease
- your opinion or preference
Treatment may include:
- self-help measures (i.e., avoiding external irritants known to
provoke vulvitis)
- sitz baths with soothing compounds (to help control the itching)
- estrogen cream or hormone replacement therapy (may be recommended
for postmenopausal women)
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