Symptom of itchy vagina , really paranoid

Hi, and thanks for your medical question on eHealth forum!

Vaginal itching can be due to several causes. One is yeast infection. Usually there is a thick curd like discharge with it. Yeast infection or thrush is at times very difficult to treat. You may need to take oral antifungal pills twice a week for 3-4 weeks along with local application of antifungal cream. There are many types of antifungals available. Take an OTC antifungal with a combination of two or more anti fungals. Use both oral and local application. At times both partners need to be treated. Test for diabetes and other STDs as presence of either or both can make it difficult to treat the fungal infection. Provided it is indeed fungus, then only try this. Antifungal tablets are strong medicines and should not be taken otherwise. So start with cream and if it helps, start the tablet.

Herpes (STD) can cause vaginal itch as the first symptom. STD like trichomoniasis causes a greenish discharge. Hence it is important to get a STD panel. Trichomoniasis is treated with a specific group of drugs known as the nitroimidazoles, either metronidazole or tinidazole, 2g as a single dose, preferably to both the partners. Greenish vaginal discharge may also be a symptom of a skin disorder known as Lichen Sclerosus, this is characterized by skin changes that occurs on the vulva. It can also be due to bacterial vaginosis. All these also cause vaginal itch.

Third possibility is a non specific vaginitis. This happens due to break in the normal flora of the vagina and is usually treated by lactobacillus preparations for the vaginal and oral lactobacillus tablets. Another possibility is vaginal irritation due to latex of condom or due to spermicidal jelly. If you use either of these methods of contraception, then your vagina could be allergic to the material of these. You can try latex free condoms or a different brand of spermicidal jelly. Allergy to semen is also possible and the itch due to this allergy disappears after sex. This is best treated by using condoms or latex free condoms.

In addition to those, vaginal itching may also be due to chemical irritants (such as detergents, fabric softeners, feminine sprays, ointments, creams, douches, and contraceptive foams or jellies), drop in estrogen during menopause, pin worms and stress.

Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your gynecologist once. Hope this helps. Take care!