Diseases & Conditions : Adolescent Medicine
What is vulvitis?
Vulvitis is simply an inflammation of the vulva, the soft folds of skin outside the vagina. This is not a condition, but rather a symptom that results from a host of diseases, infections, injuries, allergies, and other irritants. Diagnosing and treating this condition can be frustrating because it is often difficult to determine the specific cause of the irritation.
What causes vulvitis?
Vulvitis may be caused by one or more of the following:
Scented or colored toilet paper
Perfumed soaps or bubble baths
Shampoos and hair conditioners
Laundry detergents (especially enzyme-activated "cold water" formulas)
Vaginal sprays, deodorants, douches, and powders
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
Infections such as pubic lice (pediculosis) or mites (scabies)
Who is at risk for vulvitis?
Any woman with certain allergies, sensitivities, infections, or diseases can develop vulvitis. Girls who have not yet reached puberty and postmenopausal women sometimes develop vulvitis, possibly because of inadequate levels of estrogen.
What are the symptoms of vulvitis?
The following are the most common symptoms for vulvitis. However, each individual may experience symptoms differently. Symptoms of vulvitis may include:
Redness and swelling on the labia and other parts of the vulva
Clear, fluid-filled blisters (present when the vulva is particularly irritated)
Sore, scaly, thickened, or whitish patches (more prevalent in chronic vulvitis) on the vulva
The symptoms of vulvitis may resemble other conditions or medical problems. Always consult your health care provider for a diagnosis.
How is vulvitis diagnosed?
In addition to a complete medical history and physical and pelvic examination, diagnostic procedures for vulvitis may include the following:
Tests for sexually transmitted diseases (STDs)
Pap test (Test that involves microscopic examination of cells collected from the cervix, used to detect changes that may be cancer or may lead to cancer, and to show noncancerous conditions, such as infection or inflammation.)
Treatment for vulvitis
Specific treatment for vulvitis will be determined by your health care provider based on:
Your age, overall health, and medical history
Cause of the disease
Type and severity of the symptoms
Your tolerance for specific medications, procedures, or therapies
Expectations for the course of the disease
Your opinion or preference
Treatment may include:
Self-help measures (i.e., avoiding external irritants known to provoke vulvitis)
Sitz baths with soothing compounds (to help control the itching)