Remember that maintaining proper intimate hygiene is the main prevention of itching and burning. If such symptoms appear, you should consult a doctor, he will make a diagnosis based on laboratory tests. Discomfort is not a disease, but its consequence, which means that there is an inflammatory process and infection. Most often, during the disease, various discharges are observed (bloody, white, yellow, etc.), less often it does without discharge.
- Causes of itching
- During pregnancy
- Where to start treatment?
- Folk remedies to protect women's health
- Quick help when the doctor is not around
- Preparations for itching
- Recommendations during treatment of itching
- Related video?
It may be accompanied by pain in the labia, swelling, frequent urination, pain symptoms during sexual intercourse, and a constant burning sensation in the vagina, perineum, and external genitalia.
Causes of itching
- Development of pathogenic vaginal flora (candidiasis, gardnerellosis, bacteriological vaginosis). Severe itching begins, which is supported by copious discharge (cheesy, yellow, yellow, odorless and odorless)
- Sexually transmitted infections (trichomoniasis, chlamydia, genital herpes)
- Inflammatory diseases of the pelvic organs (cervicitis, adnexitis, endometritis, cervical erosion, etc.)
- Allergy to used contraceptives (lubricant and its material of the male condom, birth control pills and creams)
- Allergies to foods (citrus fruits, nuts, seafood, spicy seasonings)
- Unsatisfactory hygiene of the genitals or excessively thorough hygiene with leaching of beneficial bacteria in the vaginal area
- Injuries during childbirth, operations (fistulas)
- Hormonal changes due to endocrine diseases
- Menopause (hormonal production decreases, a feeling of tightness and dryness appears)
- External causes (mechanical friction from underwear, stress, emotional stress, increased body temperature or sudden cooling)
https://youtu.be/lvYqB7tLauk
External reasons
Itching can be caused by both external causes and internal factors. More often than not, it is the result of a combination of several provoking factors. Excessive and improper use of intimate hygiene products, the presence of infections and other reasons lead to many women experiencing itching of the labia before menstruation, as well as discomfort and vaginal discharge.
Incorrectly selected underwear
Many, especially young girls, in pursuit of beauty and sexuality, prefer synthetic underwear and thongs, without thinking about the danger they expose their reproductive organs to.
Discharge from a woman’s vagina increases and then disappears during the cycle. This is considered completely normal. Underwear made from synthetic materials is not able to absorb any leucorrhoea. It also does not allow oxygen to reach the genitals. As a result, anaerobic conditions are created with high humidity and a temperature comfortable for the reproduction of pathogenic flora. As a result, itching and burning in the labia, vagina and perineum occurs more often before menstruation.
Popular thong panties with their design contribute to the entry of intestinal microflora into the vulva and vagina, causing dysbiosis - a violation of the natural flora. As a result, beneficial lactobacilli are replaced by E. coli.
Allergic reactions
Hypersensitivity to intimate hygiene products, latex (including condoms), lubricants can cause itching without discharge, and its symptoms may increase before menstruation. In order for an allergic reaction to develop, exposure to the agent must occur at least twice. That is why, even after several weeks of absolutely comfortable use of soap or gel, symptoms of hypersensitivity to them may appear. This usually looks like redness, itching, and sometimes slight swelling in the area of contact with the allergen. With intense scratching, micro-wounds may appear.
Inadequate genital hygiene
To maintain favorable microflora in the genital area, a healthy woman only needs to take a shower or toilet her intimate parts once or twice a day. Moreover, this can be done without using any means. It is better to replace ordinary gels and aromatic oils with laundry or baby soap. Excessive hygiene leads to a decrease in beneficial flora on the genitals, which favors the proliferation of pathogens, resulting in itching in the intimate area before menstruation or on normal days, burning in the vagina, in the vulva area.
It is also important to correctly direct the stream of water or hand movements while taking a shower/bath - from the vaginal area to the anus, and not vice versa.
The use of panty liners is on par with synthetic underwear in terms of its effect on the woman’s genitals. And improper wearing of tampons can also cause dysbiosis and disruption of the flora in the vagina.
Stressful situations
Emotional experiences and stress can lead to a neurotic feeling of burning and itching in the genital area. The condition is especially typical in women before menopause; it can be combined with increased libido. If such symptoms occur over a long period of time, you should contact a gynecologist and then a psychologist or psychiatrist to rule out organic pathology.
Non-traditional intimate relationships
Anal and oral sex, when combined with classic contacts, will contribute to the entry of intestinal flora into the vagina. This leads to dysbiosis at the slightest violation of the body’s defenses; itching and discharge may appear, especially noticeable before menstruation.
During pregnancy
Pregnancy is a complex process occurring in a woman’s body, overshadowed by its own characteristics: nausea, vomiting, swelling, redness and itching of the genitals. Often they are also bothered by itching in the vagina, the reasons for which may be lack of hygiene, synthetic lace underwear pressing on the genitals, fragrances in pads, etc.
Itching in women carrying a child may also indicate diabetes, problems with the kidneys, hormonal levels, thyroid gland, and vaginal microflora. The most common cause of this itching may be the candida fungus, which causes thrush. It affects 70% of pregnant women. Fungal infection occurs due to decreased immunity. This disease is characterized by acrid discharge similar to cottage cheese and severe itching. When treating, doctors most often recommend suppositories that fight candidiasis.
Itching before menstruation - etiology
The changing hormonal background of a woman before her period forces her to change her usual diet. The appetite becomes obsessive, you want sweet, flour, meat and savory foods. Such food irritates internal organs, urine and other secretions become aggressive.
Heavy meals have to be washed down often, and the swollen uterus puts pressure on the organs in the lower abdomen. Because of this, you have to go to the toilet often, which further irritates the skin of the genital organs.
The skin of the female genitals and their mucous membranes are sensitive to both external influences and changes in the body. Therefore, itching that occurs during menstruation can have different causes:
- natural, short-term changes associated with menstruation;
- external irritating factors;
- gynecological and urological diseases;
- diseases and conditions not related to the genitourinary system;
- allergic reactions.
Often, burning and itching are the result of several factors, the influence of which becomes aggravated during menstruation. This can make diagnosis and treatment significantly more difficult.
Source: reddays.ru
Where to start treatment?
There are many reasons for this phenomenon, and in connection with this, the effect on the source of inflammation is also chosen. For example, if this is all due to tight or synthetic underwear, you can simply put on cotton and looser ones, and the problem will be eliminated. How to relieve itching if the cause has not been established, but you cannot cope with it on your own and with improvised means?
The correct opinion of doctors on this phenomenon is that if the itching does not stop for three days, and the discharge and swelling intensify, you must undergo a medical examination and diagnose the cause that caused the inflammatory process.
Along with medication, food restrictions are usually suggested: alcohol, fatty and high-calorie foods. But before that, you should properly prepare for your visit to the doctor. To do this, do not use medications for 1-2 days, do not have sex. It is also better to wait with antibacterial therapy; it will be difficult for the doctor to establish the causes.
For hygiene purposes, it is best to use baby soap without cosmetic fragrances or additives. Test results will be more accurate if the woman does not douche before visiting the doctor for a day or two. This preserves the vaginal microflora.
Pathogenesis
Itching before menstruation
Often, many women face the problem of itching and burning before menstruation.
It is quite difficult to identify the causes without contacting a specialist. You should be concerned if such symptoms occur over several menstrual cycles. This symptom may indicate a number of infectious diseases of the reproductive system. The causes of itching and burning before menstruation, as well as during their course, can be: thrush, another name - urogenital candidiasis, trichomoniasis, improper hygiene of the external genital organs, various colpitis, genital herpes or papillomas, as well as common allergies to certain types of flavored pads, tampons, etc. This list can include inflammatory processes in the appendages and in the uterus itself, diabetes mellitus and other somatic diseases. It is impossible to determine such ailments without tests. It is necessary to undergo a doctor's examination and examination.
Usually, the doctor prescribes the procedure after the end of menstruation. During the initial examination, the doctor may detect signs of colpitis, in which there is profuse leucorrhoea and hyperemia of the vaginal walls. Analysis of smears shows a large number of leukocytes, fungi, trichomonas, etc.
For example, with thrush, profuse leucorrhoea most often has a cheesy appearance. In addition, itching and burning with candidiasis appears long before menstruation, and only intensifies during menstruation.
The same can be observed at night, after sexual intercourse or consumption of sweets in large quantities, as well as spicy foods. When a woman is diagnosed with Trichomonas colpitis, the vaginal discharge has a yellowish or green tint and an unpleasant odor.
Itching of the outer labia often indicates a food allergy. Treatment always depends on the diagnosis. Itching and burning before and during menstruation are always due to some reason.
These symptoms can often indicate that one or another brand of tampons, scented pads and also gels for intimate hygiene is simply not suitable for you. In this case, it is enough to choose other means. In addition, you should not visit the pool, saunas and baths, or take a bath during menstruation.
Source: vashaginekologiya.ru
Folk remedies to protect women's health
Folk recipes based on plant extracts have the most smoky effect. They usually have antibacterial and regenerative properties.
- Two teaspoons of nettle, chamomile or calendula should be poured into 500 grams of boiling water and left for 2 hours. The resulting herbal infusion is used for douching at night; the course consists of 5-7 procedures.
- If the itching becomes unbearable, take about 5 grams of fir oil and heat cocoa butter (20-25 grams) in a water bath until boiling and cool. A tampon or tightly rolled gauze is soaked in the resulting mixture and placed in the vagina overnight. You should first douche with water and baking soda.
- Prepare a decoction of the taken herbs in equal proportions: hops (cones), St. John's wort, birch, calendula, string, chicory. The mixture is poured with boiling water, infused and consumed orally at 180-200 grams half an hour before meals.
Internal changes with itching
As noted above, itching and burning indicate a problem. We've dealt with the external provocateurs, now let's move on to the internal ones. So, the main provocateur is reduced immunity.
Before the start of the cycle, the female body and body are more sensitive to various pathogens and microbes. If a woman enters the menstrual cycle with reduced immunity, then chronic diseases can become more active in the female body.
It is much more difficult to combat physiological changes than external ones. In this situation, all the doctor’s actions are aimed at enhancing the immune system. You can achieve a positive result by adhering to the following rules:
- tidy up your diet;
- avoid any stress and anxiety;
- introduce an active and normal lifestyle.
Infections of a sexual nature. In addition to the problem described above, the vagina may itch and itch due to the presence of an inflammatory process. Typically, discomfort in the vagina can be caused by various infections.
This state of affairs is caused by a decrease in the total volume of important lactobacilli. This process develops against the background of an increase in the number of leukocytes. This condition is called vaginosis, during which the following cells are formed: ureaplasma, chlamydia and mycoplasma.
As a rule, they are not accompanied by unpleasant symptoms other than vaginal itching. In the event that this process is complemented by pathologies such as gonorrhea, genital herpes, the intensity of symptoms increases.
Symptoms include bloody discharge, which is accompanied by odor and itching. A foreign body can also cause itching before menstruation. Very often, some women simply do not remember the presence of a tampon.
In this situation, one correct solution is to take a more careful attitude towards the body. The presence of a foreign body for a short time can trigger the inflammatory process and increase the intensity of discharge.
Another common cause of vaginal itching is fungal diseases. This kind of problem is accompanied by a burning sensation, as the vulva area is affected.
Source: mesjachnye.com
Quick help when the doctor is not around
There are situations when severe itching in the vagina occurs on the road, at work, while visiting, where there is no opportunity to go to the doctor. But what to do and how to get rid of the itching?
This may be an allergic reaction, try to find the cause and remove the irritant
- Apply Vagisil cream to the outer labia, lie down with a bottle of ice water wrapped in a towel against your perineum. Attention: do not overdo it, do not apply ice, to avoid chilling
- Another quick and affordable medicine is Clotrimazole. It comes in several forms, as a cream and as a suppository for itching. You can use its analogues with the active ingredient fluconazole.
- You can temporarily relieve discomfort with the help of allergy medications, such as suprastin.
- You cannot eat foods with a yeast base: leavened drinks, baked goods, vinegar, grapes and raisins, bread, alcohol.
Possible diseases
Usually, itching in the vagina before menstruation is explained by an exacerbation of a secretive disease of the genital organs, or less often by a general illness. Based on the examination, the doctor will make an accurate diagnosis. It could be: Candidiasis.
The disease, popularly called thrush, tends to manifest itself during menstruation due to changes in hormonal levels and vaginal acidity. Candidiasis is easily identified by thick white discharge.
On the eve of menstrual periods, the labia often begin to itch, and as a result of scratching, the situation worsens, pain in the intimate area increases; Trichomoniasis. Inflammation caused by Trichomonas causes a burning sensation in the vagina in any phase of the cycle, accompanied by foamy, foul-smelling discharge.
With the onset of menstruation, discomfort increases noticeably; Chlamydia. Its symptoms are less pronounced: mild itching, yellowish discharge, slight swelling of the labia. Itching during menstruation increases, and after it subsides again;
Gonorrhea. It is transmitted sexually and has a distinctive feature - extramenstrual bleeding. Typical signs are striking: constant severe itching, profuse yellow discharge with a putrid odor, increased body temperature;
Bacterial vaginosis. We can also easily recognize it by the fishy smell emanating from underwear: due to microflora disturbance, pathogenic microorganisms actively multiply; Andexit. Inflammation of the appendages, which changes the acidity of the internal genital organs, usually has a chronic form, actively manifesting itself before menstruation;
Herpes. The virus that lives in the body of most people may not make itself known for a long time. Weakening of the immune system and a shift in hormonal levels become the impetus for the appearance of transparent blisters on the genitals. The rash is very distressing. If you experience itching during menstruation, you should not self-medicate based on an analysis of your well-being - only therapy prescribed by a doctor will be productive.
Non-infectious diseases
Sometimes the gynecologist has to prescribe an extensive general examination to identify the cause of itching before or during menstruation. Itching before menstruation is sometimes a companion to the following diseases:
Diabetes. The increased glucose content in the urine irritates the mucous membrane of the female genital organs, itching and burning before menstruation increase slightly and return to the previous level after menstruation.
Associated secondary signs of diabetes: extreme thirst, constantly recurring thrush, poor healing of cuts; Pathologies of the liver. Various diseases that weaken the liver affect the entire body.
If a burning sensation during menstruation is accompanied by a feeling of heaviness in the right precostal area, decreased appetite, hepatitis or cholecystitis can be suspected; Allergic reactions. Women with sensitive skin are sometimes allergic to ingredients in personal care products.
Poorly purchased gaskets are the cause of inconvenience. The itching disappears without a trace by stopping the use of this product; Nervous disorders, stress. If the causes of itching that occurs during menstruation are due to psychological factors, other symptoms will certainly be noticeable: anxiety, lack of normal sleep, hallucinations.
Source: omesyachnyh.ru
Preparations for itching
The medications that can help in this case are different, it all depends on the cause that caused the symptoms. If in some cases you can simply change the intimate care product, then in another case it may be antibacterial therapy with many tests and procedures. For the latter, the doctor usually prescribes several types of medications: suppositories (usually used every night until the discomfort subsides), ointments (used daily, can be supplemented with other medications as prescribed by the doctor).
The medications themselves and their active substances are recommended by the doctor depending on the results of the analysis and the individual characteristics of the patient. The course of the disease itself is a significant factor. Recently, gynecologists have spoken very highly of vaginal creams, because they spare the delicate microflora of the female genital organs, although they are slightly less effective than suppositories. But foams and gels have an even weaker effect than ointments. Remember that only a doctor can prescribe treatment; do not self-medicate with medications, you can aggravate your problems and undermine your health.
Prevention
If a woman is prone to itching and burning in the intimate area before menstrual bleeding, then she needs to regularly take preventive measures that will help significantly reduce the likelihood of developing discomfort. Initially, you should protect yourself from stress and psycho-emotional disorders.
With a constant change of sexual partners, it is better to have intimacy only with the use of contraceptives, which will help prevent the development of sexually transmitted diseases. Also, the girl should strengthen her immune system and not neglect regular visits to the gynecologist.
It is important to understand that intimate hygiene should be regular, but you need to be very careful with it. If you constantly douche or wash the intimate area with the wrong soap, then there is a possibility of disruption of the microflora, which will lead to the development of serious gynecological problems. If any disease is detected, you should immediately go to the doctor and not self-medicate.
Recommendations during treatment of itching
When taking medications or treating with folk remedies, a woman should remember that the success of treatment depends not only on the active substances of the drug, but also on an integrated approach. To do this, you need to perform proper genital hygiene at least 3-4 times a day. They are made with or without toilet soap; all intimate hygiene products with fragrances, including toilet soap, are completely excluded.
A woman should completely abstain from sexual intercourse and sanitary pads every day for the period of treatment. The patient needs to be careful about her diet: avoid hot spices, high-calorie foods, and alcohol. One of the important points is the prevention of hypothermia, so you should dress warmly when going outside.
The female body is a very complex mechanism, so you should pay attention to the slightest changes, pain, discomfort, dry mucous membranes. You should be attentive to your health; if symptoms persist for a long time, it is better to visit a doctor without delaying or self-medicating.
Remember: vaginal itching always has a cause: sexually transmitted disease, menopause, infectious disease, fungus and others. It is necessary to respond to its symptoms in a timely manner and promptly consult a doctor.
What should I do to fix it?
It is possible to get rid of the unpleasant sensation with accurate verification of the diagnosis. If the itching is caused by external factors, it goes away after they are eliminated. In other situations, more active correction is required.
Traditional treatment
Proper care of the external genitalia plays an important role in eliminating itching. As hygiene products during menstruation, it is recommended to use special formulations without aggressive components that maintain the pH level and composition of the microflora (for example, Lactacid).
Women are advised to limit sexual contact, and in case of infections, to abstain from it altogether for the period of treatment. You should wear underwear made from natural fabrics and change it often. If hypersensitivity reactions are detected, it is recommended to adhere to a hypoallergenic diet, but the diet must be complete in composition.
The basis of therapeutic measures for itching caused by pathology are medications. To eliminate the cause and reduce symptoms, the doctor may prescribe the following medications:
- Antiseptics (Citeal, Betadine, chlorhexidine, miramistin).
- Antifungals (Terzhinan, Polygynax, clotrimazole).
- Antibacterial (Metrogyl, azithromycin, doxycycline).
- Antiviral (Gerpevir, Panavir, Fenistil Pencivir).
- Antihistamines (Tavegil, Cetrin, Loratadine, Erius).
In the complex treatment of infectious pathology, probiotics (Acylact), immunocorrectors, and vitamins are used. To reduce sensitization to allergens, calcium gluconate and sodium thiosulfate are used; sedatives (Persen, Fitosed, valerian) will help reduce itching.
Treatment of hemorrhoids is carried out with drugs with anti-inflammatory, venotonic, antithrombotic, antispasmodic properties (Proctosan neo, Relief, Hemorol, heparin ointment). If the itching is of systemic origin, the underlying disease must be treated. Psychogenic symptoms usually require the use of antidepressants.
Therapeutic tactics for itching in the intimate area involve compliance with hygiene rules and the use of medications.
Possible diseases
Itching before menstruation (causes include an allergic reaction) can occur as a result of pathological factors. They are listed in the table.
Name of the disease | Description |
Genital herpes | The disease manifests itself on the genital organs, namely the mucous membranes and skin. Symptoms of pathology:
|
Hormonal disbalance | The endocrine system and gynecology have a close relationship. When there is a hormonal imbalance, menstruation changes. Therefore, a few days before the expected period, a woman may feel itching in the vagina. Additional symptoms of hormonal imbalance:
|
Polycystic ovary syndrome (PCOS) | Gynecological disease is characterized by multiple formation of benign cysts. Localization - on the inside or outside of the ovaries. Signs of the disease:
|
Having a sexually transmitted disease (STD) | STDs or sexually transmitted infections (STIs) are a group of diseases that can be contracted through contact with a partner. These are more than 20 pathologies that have different origins (fungal, viral, bacterial). The following diseases are most often diagnosed: 1. Syphilis. Pathology can be transmitted not only through contact with a partner, but also through things or biomaterial (blood). The disease manifests itself in the form of rashes and ulcers in the genital area. If left untreated, the likelihood of death increases. 2. Gonorrhea. Pathology develops upon contact with a partner (oral, anal, vaginal). The disease can be judged by the release of blood secretions after sex. And also during contact there is severe pain. 3. Trichomoniasis. The route of transmission is sexual. But domestic infection is possible. The peculiarity of the disease is that the incubation period can last up to 1 month. 4. Chlamydia. A distinctive feature of the disease is the absence of clear external manifestations. Symptoms appear only at an advanced stage. Signs of the disease include pain and itching in the genital area. Chlamydia is transmitted through contact with a partner, as well as through household contact. 5. Mycoplasmosis. The disease can be caused by other pathologies - vaginosis, pyelonephritis. 6. Human papillomavirus. Among the symptoms are warts on the mucous membrane of the genital organs. The disease has a classification; some varieties are particularly dangerous, as they lead to a malignant tumor of the cervix or mammary glands. 7. Genital herpes. 8. HIV. The disease stands for human immunodeficiency virus. This pathology is the most dangerous of all STDs. Symptoms of HIV do not appear immediately. The incubation period, during which signs remain undetected, lasts from 1 to 6 months. Symptoms include enlarged lymph nodes, weakness, and headache. Additionally, the person has no appetite. A characteristic symptom of HIV is inflammation of the tonsils over a long period of time. Additionally, body temperature rises (more than 37.5 degrees), but taking antipyretic drugs does not produce any results. In the absence of antiretroviral therapy (suppresses the development of the virus to such an extent that HIV is not detected in the blood), the body is attacked by diseases - pneumonia, tuberculosis and others. As a result, AIDS develops. 9. Hepatitis. The disease is transmitted in different ways, but sexual transmission should not be excluded. With pathology, the structure of the liver may change. Each of these diseases is characterized by itching before the expected menstruation. Common STD symptoms:
|
Disturbance of intestinal microflora | Dysbacteriosis can cause itching in the vagina before menstruation. The genital fissure is located close to the anus, so pathogenic microorganisms penetrate it. Symptoms of intestinal dysbiosis:
|
Colpitis | The disease is characterized by an inflammatory process on the vaginal mucosa. Colpitis is another name for vaginitis. Symptoms of the disease:
|
Thrush | The disease is otherwise called candidiasis. The pathology is caused by the proliferation of fungi of the genus Candida. Symptoms of the disease:
|
Helminthic lesion | If a woman is bothered by itching before menstruation, this may be due to helminthiasis. The symptom spreads throughout the perineum. Worms can pass into the genitals from the intestines or be transported in the blood. Signs of helminth penetration into the vagina:
General signs of the disease:
|
Diabetes | The disease is characterized by impaired metabolism and elevated sugar levels in the body. Itching occurs not only in the vagina, but throughout the body. |
If you do not treat vaginal itching that appears before menstruation, the situation will worsen. This is especially true in cases where a woman does not know about the disease. In the absence of therapy, the pathology moves to an advanced stage. As a result, treatment will take a long time. The most serious complication is death.
Every woman or girl may experience itching before the onset of menstruation. This sign indicates natural causes or indicates pathology. Why a symptom occurs can only be determined by a specialist.
There is no need to postpone the consultation, otherwise the situation will become more complicated. After a complete examination of the body, treatment is prescribed, which includes the use of medications, folk remedies and other methods (proper nutrition, normal physical activity, rest).
Article design: Vladimir the Great
Drug therapy
The method of eliminating severe and unpleasant itching in the vagina before menstruation directly depends on the general cause of its occurrence. If the basis for the development of pathology is one or another disease, the main actions should be aimed specifically at eliminating the main disease.
If discomfort is caused by colpitis, the doctor prescribes a special comprehensive treatment. It consists of douching and taking modern anti-inflammatory drugs or drugs aimed at eliminating fungal pathology.
Among the most common medications that can quickly get rid of itching and other forms of discomfort are:
- Polygynax
- Terzhinan
- Metronidazole
- Nystatin
- Clotrimazole
- Atsilak
The approach to the treatment process is strictly individual, therefore, in addition to these means of eliminating itching, completely different means may well be prescribed. Itching in the vagina occurs due to nervous disorders. In this case, the gynecologist prescribes sedatives.
If there is itching that occurs due to allergies, anti-allergic medications must be prescribed and taken or a special diet must be prescribed. Folk remedies are no less important in treating and eliminating itching.
Baths and decoctions performed at home are effective. To enhance the effect obtained from treatment with folk remedies, you can insert tampons soaked in special solutions into the vagina. These can be infusions of chamomile, calendula, and basil.
Doctors advise making tampons from aloe. If you introduce them immediately after douching, you can quickly overcome all unpleasant manifestations of discomfort in the vagina before menstruation. This way you can quickly get rid of itching and unpleasant discharge.
If gynecological problems arise, you need to remember that it is advisable to carry out treatment not independently, but only after receiving consultation from specialists.
The doctor prescribes treatment after a survey and examination. If a burning sensation in the vagina before menstruation provokes colpitis, then complex treatment is prescribed. It includes douching and taking anti-inflammatory and antifungal drugs. Douching procedures can be carried out using solutions:
- Potassium permanganate;
- Rivanol;
- Chlorophyllipta;
- Rotokana;
- Chlorhexidine bigluconate;
- Sodium bicarbonate;
- Citeala.
Source: etidni.help
Itching during menstruation: causes of itching before and after ovulation
Intimate itching during menstruation, as well as before and after menstruation, is a fairly common phenomenon in gynecological practice, which, perhaps, every female representative experiences throughout her life. Such manifestations may be temporary and not cause much discomfort. But it happens that the burning and itching in the intimate area becomes unbearable, requiring immediate treatment. What are the true causes of such symptoms, and what will help eliminate them?
External irritants
Before critical days, a real hormonal change begins in a woman’s body, which causes malfunctions in many organs and systems. In particular, such changes potentiate a decrease in the activity of the immune system, which can provoke the occurrence of itching sensations in the intimate area. During this period, a woman’s body, namely the skin of her delicate areas, becomes sensitive to many external irritants, including:
Underwear made from synthetic fabric
As you know, low-quality underwear contributes to skin irritation and can cause the development of allergic reactions. It also practically does not allow oxygen to pass through to the skin of the genital organs and does not absorb secretions. All these properties of a cheap wardrobe item negatively affect the condition of the intimate area and become the main cause of itching sensations during menstruation.
Intimate hygiene items, contraception and sex toys
Most modern intimate hygiene products, regardless of composition and manufacturer, are real provocateurs for the development of allergic reactions in intimate areas.
As is known, such disorders are accompanied not only by a rash and redness, but also by itching, swelling of the external genitalia, and burning. Factors in the development of hypersensitivity also include condoms and intimate sexual accessories made from latex and other chemical compounds.
Stress
When the nervous system is excited, a woman’s body stops working normally, which contributes to the occurrence of a number of disorders, including those of a neuroendocrine nature. Stressful situations provoke an increase in blood pressure, which leads to disorders of local blood flow and contributes to the formation of edema. All this often becomes the reason why women experience itching of the labia before menstruation.
Variety of sex life
Itching in the vagina before menstruation can be caused by alternating different types of sex during this period, namely vaginal, oral and anal. This practice facilitates the penetration of E. coli and other microorganisms into the vaginal cavity, which destroy the normal microflora of the organ and cause the development of unpleasant sensations.
Failure to comply with basic hygiene rules
During menstruation, itching can be caused by simply ignoring the rules of personal hygiene. It is important to remember that washing less than once a day, untimely changing of underwear and sanitary pads (tampons) lead to the proliferation of opportunistic microorganisms. An unpleasant odor appears, which is accompanied by burning and itching of the skin on the genitals.
Internal factors
Hormonal changes in a woman’s body before menstruation and during menstruation contribute to the exacerbation of many chronic diseases, which should be taken into account in the process of diagnosing itching in the period after ovulation. What could it be?
Venereal infectious diseases
Symptoms of many sexually transmitted infections of the genital organs (trichomoniasis, gonorrheal vaginitis, chlamydia, gardnerellosis and others) worsen during ovulation and in the period before menstruation. This is due to a decrease in the number of lactobacilli and the development of bacterial vaginosis, the main manifestations of which are itching, burning and discomfort in the vaginal area.
Genital herpes
Itching during menstruation is one of the common manifestations of such a viral infection of the skin of the genital organs as genital herpes. The exacerbation of the disease is facilitated by a decrease in the body's immune reactivity, characteristic of PMS and the postmenstrual period.
Candidal colpitis or thrush
As you know, the vaginal microflora can change throughout the menstrual cycle, especially before it begins. A change in the acidity of vaginal secretions leads to the creation of favorable conditions for the growth of fungi and the development of thrush, one of the first symptoms of which is severe itching accompanied by the appearance of a cheesy discharge with a sour odor.
Intestinal dysbiosis
Itching during menstruation, the causes of which lie in dysbiosis of the intestinal tract, is the result of a violation of the normal number of beneficial bacteria in relation to pathogenic microorganisms. This causes a decrease in immunity and promotes the activation of pathogenic microbes. This makes it possible for diseases to progress, including pathological processes of the genital area, which are accompanied by itching of external and internal organs.
Parasitic disease
Parasites are the cause of chronic intoxication of the body, one of the manifestations of which is severe irritation of the skin in delicate areas with the occurrence of itching sensations, discomfort and burning.
Diabetes mellitus and impaired functioning of the kidneys and liver
Hyperglycemia leads to the accumulation of metabolic breakdown products in the body, which increases itching after menstruation, as well as before critical days and throughout the menstrual period.
Associated symptoms
In any case, if a symptom such as itching appears during the menstrual period, the woman is recommended to undergo examination by a gynecologist. Representatives of the fairer sex should be especially attentive to their health, in whom before menstruation itching and burning are accompanied by other pathological manifestations. You should not postpone your visit to the doctor if:
- during menstruation, severe abdominal pain in the lower regions with irradiation (spread) of discomfort to the lumbar region;
- copious discharge with an unpleasant odor appears, which differs from the usual secretion in color and consistency, and contains blood impurities;
- Over time, the symptoms of itching intensify and become unbearable;
- Itchy discomfort is accompanied by an increase in body temperature;
- along with pathological manifestations, the normal flow of menstruation is disrupted, which is manifested by scanty spotting or, conversely, bleeding;
- a foreign body is felt in the genitals.
Drug therapy for itching during menstruation
The causes and treatment of the condition when the intimate part itches before menstruation are two interrelated concepts. The choice of the most effective therapy that can influence the main etiological factors of the disease depends on the origin of the pathological condition.
- If after menstruation itching occurs against the background of progressive thrush, the attending physician decides on the need to prescribe the patient antifungal drugs that can destroy the causative agents of candidiasis. In case of fungal infection of the mucous membranes of the vagina, it is advisable to take general and local agents. In modern gynecological practice, specialists prefer drugs such as Diflucan, Nystatin, Clotrimazole, Livarol and others. The course of such therapy lasts from 7 to 14 days (depending on the course of the disease and its complexity). Most often, a woman is asked to use intravaginal suppositories at night, less often - to combine them with oral administration of antimycotic drugs.
- Allergic itching is eliminated with the help of antihistamines, in particular Claritin, Diazolin, Suprastin. The course of antiallergic treatment is determined by the doctor on an individual basis. As a rule, antihistamines are prescribed 1 tablet 2-3 times a day, which should be taken for 7-10 days. While taking such medications, drowsiness and lethargy may occur, memory and attention may deteriorate, so patients are not recommended to drive or perform mental work during the treatment period.
- If the disease is infectious, the patient should take a smear of vaginal discharge and determine the pathogen. After diagnosing trichomoniasis, gonorrhea or chlamydia, the woman will be prescribed a course of adequate complex therapy, the basis of which is medications such as Metronidazole, ciprofloxacin antibiotics, macrolides, and fluoroquinolones. The dosage and duration of taking these medications is determined by the doctor after receiving the results of laboratory and instrumental examinations.
It would not be superfluous to prescribe a woman to douche, which can be carried out using solutions of Potassium permanganate, Chlorophyllipt, Chlorhexidine. You should douche twice a day (in the morning and before bed). The amount of solution used should not be less than 200 ml. In combination with the main treatment, the patient may be prescribed sedatives, immunomodulators, and antiviral drugs.
Treatment
Vulvar itching should be treated using:
- antibiotics;
- candles;
- vaginal capsules;
- herbal preparations.
However, the primary diagnosis can be made already during an examination by a gynecologist. An experienced doctor can determine the causative agent of the inflammatory process by the color and abundance of discharge. Here you can immediately rule out itching due to chickenpox and vaginal herpes. Also, if there is any suspicion of the presence of pelvic tumors, the gynecologist will send you for an ultrasound examination.
With fairly large erosion, itching and burning in the vagina can also bother the patient. Colposcopy will help clarify the doctor’s ambiguous guesses on this matter. Also, females need to undergo hormone tests periodically.
A decrease in female hormones can lead to identical symptoms. This may be especially true for pregnant women and young mothers. As a result, against the background of changed conditions in the vaginal microflora, ubiquitous candidiasis may develop.
Itching during menstruation can occur in the presence of any common or hidden infection. Especially if such a symptom lasts more than three days. Although here it is necessary to exclude first the presence of not only an infectious disease, but also an allergic reaction.
There are many reasons for vulvar itching, so subsequent diagnosis will be extremely difficult. If a girl is still accustomed to using gels when washing her face, then it is worth purchasing special intimate hygiene products with a neutral PH. But itching before menstruation can usually only be caused by fungi or hormonal imbalances. The first signs of itching appear a few days before ovulation. Often a similar symptom occurs after childbirth. In this case, it is worth finding out the type of disease and getting rid of it with the help of a comprehensive anti-inflammatory course of treatment.
The situation worsens significantly if the itching of the vulva extends to the anus, acquiring the character of anogenital itching. During treatment, you need to abstain from sexual activity and heavy exercise and follow a special fermented milk diet with the addition of vegetables and fruits.
Source: ginekolog-klinika.ru