Vaginal itching is a very common issue among women of all ages.

While sometimes it may result from minor irritation caused by hygiene products,

it can also be a sign of infection or gynecological conditions that require medical care.

Common causes include yeast infections, bacterial vaginosis, or sexually transmitted infections (STIs).

Causes of Vaginal Itching

• Yeast infection (Vaginal candidiasis)
• Bacterial vaginosis
• Parasitic infections such as scabies or pubic lice
• Sexually transmitted infections (STIs) such as gonorrhea or herpes
• Allergic reactions or irritation from soaps, detergents, hygiene products, or fabrics
• Hormonal imbalance, especially during menopause, leading to vaginal dryness
• Skin conditions around the genital area such as eczema or psoriasis

Associated Symptoms

• Abnormal vaginal discharge with odor or color change
• Burning sensation when urinating or during intercourse
• Redness, swelling, or rash around the vulva
• Persistent itching that disturbs sleep or daily life

Diagnosis for Vaginal Itching

A gynecologist will take medical history, perform a pelvic exam, and collect samples of discharge or lesions. These may be tested with culture or PCR to identify the exact cause. STI screening is recommended for women at risk.

Treatment Options for Vaginal Itching

• Antifungal medications such as Fluconazole or Clotrimazole cream
• Antibiotics for bacterial infections or STIs
• Avoid irritant products; use mild soap or just clean water
• Hormone replacement therapy in menopausal women with vaginal dryness
• Moisturizing creams for external skin (urea cream, petroleum jelly)
• Topical steroids as prescribed by a doctor

Prevention

• Maintain proper genital hygiene
• Avoid douching
• Keep the vulva dry; avoid prolonged dampness
• Urinate after intercourse
• Wear breathable cotton underwear
• Use condoms to prevent STD/STIs
• Schedule annual gynecological check-ups

References

• CDC (2021). Vaginal infections and vaginitis
• ACOG (2020). Vaginitis in nonpregnant patients
• Faculty of Medicine Siriraj Hospital. (2023). Obstetrics & Gynecology Guidelines