ITCHING OF THE VULVA
Categories: Diseases of Women
Vulvae or Pruritus. This intense itching is the
characteristic symptom. With the itching there is more or less swelling of
the parts and extreme nervous irritability.
Causes. This is doubtful; some think it is a purely nervous condition.
Parts irritable. The upper angle of the labia majora and the mons veneris
are the usual locations. The skin is inflamed thickened, raw, from the
Symptoms. The itching and burning are almost unbearable at times,
beginning most often around the clitoris, coming in paroxysms and made
worse by warmth and motion.
In chronic cases the skin is a little thickened and looks dull and dry and
is covered with small cracks and scratches, the result of the patient's
efforts to stop the itching.
Treatment. Systematic, general tonic treatment. Diabetes, gout,
irritating discharges from the vagina and rectum should be removed. Pin
worms and highly acid urine sometimes cause it in children. Internally the
bromides to quiet the nerves and arsenic to build up the system should be
Local. Strong solutions of corrosive sublimate (1 to 1000), nitrate of
silver, tincture of iodine, and cocaine ointment give temporary relief.
Sometimes an operation is necessary.