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Why Do I Itch "Down There?"

There are lots of comments around the blogs here about itching and burning in the vaginal area and what might cause it. Here are some possibilities:

  • Yeast Infections: Yeast infections of the labial area can be treated with an over-the-counter vaginal yeast cream (e.g., containing miconazole or clotrimazole).
  • Pubic Lice or Scabies: Two other causes of itching that is worse at night or with heat are scabies or crab lice. One does not have to be sexually active to acquire one of these infections. Over-the-counter remedies are available to kill the lice and eggs.
  • Genital Herpes: Another possibility would be a herpes outbreak. Sometimes a woman could have a very mild first outbreak then years later have a more severe second outbreak. If herpes is a culprit, you may notice several discrete lesions rather than a generalized rash in that area. If you have NEVER been sexually active then I would discount herpes as a possible cause.
  • Eczema: One can get an eczema type rash on the vulva as well. This would be treated with a steroid cream.

If you’re here because you’ve got an itch you’d rather not be scratching in public, your best bet is to try and have someone examine the area as soon as possible. The treatments for each of the conditions mentioned above are very different, so getting a correct diagnosis is essential.

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