A year-old woman presents with chronic vulvar pruritus. She treated herself for yeast vaginitis without improvement. She has had progressive dyspareunia and intermittent difficulty with defecation, as well as insomnia, which she attributes to ongoing itch. On examination, white vulvar plaques are noticed with fissuring. Her last Papanicolaou smear a year ago was normal.
How to Navigate This Online Resource. Changes at Midlife. Causes of Sexual Problems. Effective Treatments for Sexual Problems. Frequently Asked Questions. Give Us YourFeedback. Less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible.
Most women experience a slight vulval itch now and again. However, pruritus vulvae means the itch is persistent and causes distress. The vulva is the area of skin just outside the vagina.
The goal is to promote healthy vulvar skin. This is done by decreasing and removing chemicals, moisture, or rubbing friction. Use of Health Topics. Guias para el cuidado de la piel de la vulva The goal is to promote healthy vulvar skin. You can use dryer balls to help soften clothes.