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Vulvitis is inflammation in your vulva, or your genitals. Vulva includes the soft folds of skin that surround your vagina, including your labia majora (the outer folds), labia minora (vaginal lips) and your clitoris. Vulva may become inflamed because of an infection, allergic reaction or injury that irritates your skin.

Difference between vulvitis and vaginitis

Both vulvitis and vaginitis describe inflammation that affects your reproductive parts. Vulvitis refers to inflammation affecting your genitals, or vulva, the outer part of your reproductive anatomy. Vaginitis refers to inflammation that affects your vagina inside your body. Inflammation affecting both your vulva and your vagina is called vulvovaginitis.

CAUSES

Allergies or sensitivities to perfumes, soaps, toilet paper, vaginal sprays, laundry detergent, or body washes

Long-term inflammatory skin conditions, such as dermatitis, seborrhea, or eczema

Fungal or bacterial infections, scabies, or pubic lice

Spermicides

Douches that are too strong or used too frequently

Hot tub and swimming pool water

Synthetic undergarments without a cotton crotch

Rubbing against a bicycle seat

Wearing a wet bathing suit for a long period of time

Horseback riding

DIAGNOSIS

A physician will do a pelvic exam and may recommend these tests to detect an infection or underlying condition:

Blood tests

Urinalysis

Tests for sexually transmitted diseases

MANAGEMENT

When the cause of the vulvitis is identified and treated, the itching may subside within a couple of weeks.

Avoid vulvar irritation: Stop using any products (like feminine hygiene products, soap and detergents) that may irritate your vulva. Wear loose-fitting, breathable white cotton undergarments to air out your vulva and vagina.

Take regular sitz baths: A sitz bath is a shallow, warm bath that can help relieve itching and burning caused by vulvitis.

Your provider may order additional tests to rule out rarer, more serious conditions that may be causing vulvitis, like lichen sclerosus or vulvar cancer, if these treatments don't help. More targeted treatments will be needed for these conditions.

Prevention

Use mild, unscented soaps and warm water to clean your genitals, or just use warm water.

Avoid douching and using fragranced feminine products, like tampons, pads and pantyliners.

Change into clean, dry clothes soon after swimming or exercising.

Wear breathable, loose-fitting cotton underwear during the day.

HOMEOPATHY MEDICINE

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