Pruritus Vulvae

Key Points
Common, chronic skin condition affecting the vulvar area
Typically caused by irritation to the affected area, other skin conditions, or even certain skin cancers
Consists of severe itching and may be accompanied by inflammation or rash

Pruritus vulvae is a common, chronic skin condition affecting the vulvar area. The condition consists of severe itching in the skin of the vulva, and may be accompanied by inflammation or a rash. The duration of effect may be long, with some affected persons suffering years with only minor

Pruritus vulvae may arise due to irritation of the affected area or in association with other skin disorders, including dermatitis, psoriasis, lichen simplex or sclerosus, bacterial or yeast infections, and even in association with certain skin cancers.

Diagnosis
Key Points
Diagnosis based on clinical examination
Skin biopsy may be required to confirm diagnosis and rule out other conditions

Pruritus vulvae is diagnosed based on clinical examination of the affected area. A skin biopsy may be required to confirm diagnosis and rule out similar appearing conditions.

Treatment
Reducing or eliminating irritation is key to improving the condition
Treatment of associated skin conditions may help to resolve Pruritus vulvae
Health care professionals may prescribe certain medications to alleviate symptoms
OTC Options: soap free cleansers, hydrocortisone, antihistamines

Reducing or eliminating irritation to the vulvar area is key in improving pruritus vulvae. This includes gentle care and cleansing, preferably with lukewarm water and soap free cleansers. Additionally, it is recommended that affected persons refrain from scratching, keep the affected area cool, and avoid irritants such as tightfitting clothes, synthetic undergarments, and undue friction. Hydrocortisone and oral antihistamines may help to alleviate itching in the affected area. Health care professionals may prescribe medicatiosn such as amitriptyline or serotonin reuptake agents.