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Vulvar pruritus and burning sensation in women with psoriasis

In most cases the itch is predominant but some women will complain more of soreness, burning, and pain. Moreover this vulvar discomfort and accompanying psoriasis had a significant influence on the psychosocial wellbeing of the patients 15. The vulva, or external genitalia of the female, includes the mons pubis, labia majora (outer lips), labia minora (inner lips), clitoris, perineum (tissue between vagina and anus) and the external openings of the urethra and vagina. Vulval itch, pain and/or burning can co-exist. As many as one fifth of women have significant vulval symptoms. Is there pain, discomfort, irritation, itching or has just ‘something which has been found’? Are there any other current problems such as psoriasis, chickenpox or recent use of antibiotics?.

Vulvar pruritus and burning sensation in women with psoriasis 2Here are the main causes of vaginal itching, burning and irritation. Skin inflammations, such as dermatitis or psoriasis, can also affect the genital area and cause itching and discomfort. They commonly occur in the vulva and appear as a small, hard lump, which is generally painless. Sebaceous cysts do not require treatment unless they cause discomfort. The main initial symptom of vulval dermatitis is itching. Women with psoriasis of the vulva often have the skin condition elsewhere on their body. Inside Pain:. Report all the symptoms that concern you, including itching, burning, soreness, discharge, bumps, and rashes. When vaginal or vulvar itching occurs, women usually assume it’s a yeast infection and treat it with an over-the-counter antifungal cream. Eczema. This inflammatory skin condition disrupts the skin’s surface, causing red patches and thin cracks, weeping, and crust formation.

For example, many women believe that an itch always means that they have vaginal thrush (candidiasis, monilia). Some women with badly inflamed vulval skin do not even notice discomfort on entry to their vaginas, but will seek help from their doctors only when they have deep dyspareunia (abdominal pain during sex because of pelvic muscle spasm). Like genital psoriasis, it can cause the same irritation from friction of the skin, so a correct diagnosis is essential for proper treatment. The mucosal membranes at the entrance to the vagina are not involved. While it is easy to relieve the symptoms of itch and discomfort, treating the lesions effectively is more challenging. The inherent sensitivity of the vulvovaginal skin, progressive oestrogen deficiency and the close proximity of the urethral opening and the anus, combined with skin changes due to ageing make conditions affecting the vulvovaginal skin common and a cause of distress for many post-menopausal women. 2 Irritants produce inflammation of the skin, which is often aggravated by vulvovaginal atrophy, and cause itch, burning or non-specific irritation. Women with vulval lichen planus may present with itch and pain, similar to the symptoms of lichen sclerosus, however, it is less common than lichen sclerosus, is more likely to affect other areas of the body and also affects mucosal skin, e. Seborrhoeic dermatitis and psoriasis in post-menopausal women.

Vaginal Itching, Burning And Irritation

Vulvar pruritus and burning sensation in women with psoriasis 3WebMD explains the causes and relief of vaginal itching, burning, and irritation. Itching or irritation anywhere on the body can cause discomfort. But when it occurs in an area as sensitive as the vagina and vulva (the labia, clitoris, and vaginal opening), it can be especially uncomfortable. It is a syndrome of unexplained vulvar pain, frequently accompanied by physical disabilities, limitation of daily activities, sexual dysfunction and psychologic distress. A 23-year-old woman was treated twice for a suspected urinary tract infection while traveling in Europe. Itching or burning Variable chronic symptoms. Psoriasis. Although many vulvar conditions cause symptoms such as burning, pruritus, other discomfort, or discharge, many do not. Pruritus, however, may be present, as well as a burning sensation of the vulva. Genital psoriasis usually affects the outer skin of the vagina because psoriasis does not normally affect mucous membranes. Symptoms of anal psoriasis may include bleeding, pain during bowel movements, and excessive dryness and itching. Overexposure to UV light can burn thin genital area skin. Vulvar pruritus and burning sensation in women with psoriasis. Acta Derm. Venereol. Acta Derm Venereol 2008;88(2):132-5. Aleksandra Zamirska, Adam Reich, Joanna Berny-Moreno, Joanna Salomon, Jacek C Szepietowski.

Vulval Problems: A Self-help Guide