> The itching vulvar

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  5. vaginal Infections
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  7. itching vulval

The itching affects only the skin and mucous membranes, and può be due to both causes, local and general causes. General causes  (chronic renal failure, hyperthyroidism, Hodgkin’s lymphoma, to name a few) generally result in itching in other parts of the body. The local causes may be gathered under the name of dermatoses, are not tumors, and should be distinguished to properly execute the therapy.

    Lichen sclerosus

    Lichen would plan

    Lichen simplex cronico

    Dermatite da contatto

    Infezioni vulvovaginali: the candidiasi

    Therapeutic del itching

Lichen sclerosus

women suffering from this disease, sometimes waiting years to get the diagnosis. Skin disease par excellence, is not well enough known by gynecologists, it is often treated as a candidiasis relapsing very long. In 15,20 % of the cases there are lesions in extra-genital and può also affect men, even if the più rarely.

it Affects women of all agesà, but the majority of the cases occur in for girls and women in età post menopausal, in which the lack of business activity; estrogenic obviously does not provide protection.

And with every probability; linked to an autoimmune disease (antibodies to the body instead of heading against external agents attacking the body’s own tissues), even if nature is not clear and is associated with other diseases, with a genesis-like.

The critical symptom is an intensely itchy, and with time, if not treated,  causes a stenosis of the vaginal outlet, white patches on the vulva, disappearance of the external genitalia, and the difficultyà to have sexual intercourse.

The histological examination, unless there are suspicious lesions for cancer, it is not necessary for diagnosis.

the dermatosis più frequent and responds well to cortisone. The therapy is done at the beginning with applications of frequent, that they are progressively slowed down, until often a maintenance therapy once a week.

The disease tends to recur, and regular inspections are also necessary becauseé it increases a little the risk of develop over time (10 years) cancer of the vulva. In case of doubt, willà be useful to do a biopsy.

Lichen planus

The liche planus is a dermatoses inflammatory mucocutaneous source autoimmune chronic. There may be skin lesions in the load of the wrists, forearms, elbows, hips, sacrum, to the surface estensoria of the legs, and lesions of the oral mucosa.

manifests with papules a polygonal outline, shiny, lilac or reddish, which tend to merge into plaques or striae (spider’s web).

Sinceé causes of itching, and the itching causes the scratching, may appear as plaques desquamanti, similar in time to the lichen sclerosus, but caused by scratching, and then the secondary. Women suffering from this disease have itching, pain reports, and often bleeding after the sexual act.

accompanying the gingivitis is called a “syndrome, vulvo-vaginal gingival”. Also here the use of cortisone può work around the framework, with the time and manner to be determined depending on the framework.

Lichen simplex cronico

Dermatoses is rather common, is a disease that arises in a normal skin after the stimuli is inadequate that cause itching and therefore scratching. Heat, sweat, linen, synthetic detergents, are all stimuli that can trigger a vicious circle of itching, scratching, itching.

If the process is not interrupted even here the final outcome sarà a lichenification secondary. The attempt to make a diagnosis is primarily based on a patient survey to eliminate the cause, and cortisone topical is used to stop the vicious cycle.

Dermatite da contatto

the disease included in the field of allergies, or sensitization to antigens that trigger. Products for intimate hygiene, sanitary towels, condoms, linen, synthetic can cause a reaction itchy, especially with the women that carry sanitary pads long, also for urinary incontinence in età post-menopausal.

Even here, we must patiently try to understand if there is something that could have triggered the allergy, use of cortisone, remove the defendant and see if it passes.

Infections vulvovaginali: candidiasis

candidiasis is an infection caused by a fungus called Candida Albicans, or other White less frequent.

The Candida is present in the vagina, in the gut, and sometimes also in other districts,  as opportunist, as a diner, and there are no symptoms. The overt infection is linked to an imbalance of the forces present. Può be an antibiotic therapy, which eliminates its natural enemies, by excessive intake of sugars, but also the pizza is transformed into sugar, già in the mouth…), by synthetic clothing, or too tight, or from other momentary imbalances of flora or immunosuppression.

The itching è mandatory, even though in the blown form, is almost always present, the losses are caseose, liquid as well as solid, sometimes with a greenish coloration.

Può be recurrent, appear più times during the year,and then the loss and itching are less frequent, replaced by a burning sensation, and difficultyà to have relationships. In this case, the diagnosis with the vulvodynia heartburn chronic of the vulva) is particularly difficult, and sometimes it resolves only with attempts of antifungal therapy for oral to evaluate the possible diagnosis.

Besides, the candidiasis relapsing seems to be a dermatitis allergic irritant, resulting in a iperreattività personal, and può be a root cause of vulvodynia.

in Short, a framework is often not clear, and where the crop is not as obligatory as the careful evaluation of symptoms and obbiettività. Of course, a fundamental ingredient is the preparation and the patience of the doctor, as well as is the patience of the woman.

Treatment of pruritus

” we must quell the itching, restore the surface of the vulva, and comply with some rules. Use cotton underwear white, do not use tight clothing (no jeans !! besides, the centre seam può be harmful..), use only absorbent cotton (found in the pharmacy), being able to nothing tights, cleansers, pH-neutral, no shampoo, and in the moments just acute blow-dry with the hairdryer after the bidet, and not with the towel.

The cortisone andrà chosen by the doctor, but since they often must be used for a long time and it is not necessary to overdo it is useful to know that there is a “unità fingertip” fingertip unit, which corresponds to the quantityà covering the fingertip of the index finger of an adult.

This dose is sufficient to treat an area large as two palms of the hand, fingers included, and an adult. On this basis it has been calculated that a tube of 30 grams should be enough for 12 weeks of daily use.

we also Remember that can be very useful emollient creams and moisturizers, becauseé the cortisone tends to dry out the skin, and then these therapies may be complex, lengthy, and require a certain experience on the part of the doctor who performs.

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