The itching is often so bad that it can affect a sufferer's sleep. Lichen sclerosus is another extremely itchy skin condition affecting the vulva. You can have psoriasis on the vulva without having it anywhere else on your body. Psoriasis on other parts of the body is scaly (check your scalp, knees and elbows), but in the vulval area it tends to be smooth. The affected area may extend to the groin and to around the back passage (the anus) and between the buttocks. The skin usually becomes bright red, often with painful cracks. Psoriasis is a skin condition that can be extremely itchy when the genitals are involved. Infection with Trichomonas vaginalis can be itchy. If there is a discharge, it is usually only slight, does not smell and looks like cottage cheese. Thrush does not always cause a discharge â the main symptom is itching or soreness, and this gets worse in the week before a period. But problems can arise when this natural balance becomes upset, and the Candida multiplies. Hormones in the vaginal secretions and the friendly vaginal bacteria keep it at bay. About 1 woman in 5 has Candida in her vagina without it causing any symptoms. Thrush is a fungal infection caused by Candida albicans. And you can find more information about thrush and trichomoniasis in the section on genital infections. This section explains the most common causes of vulval itching and what you can do about them. If you have a skin condition, and not thrush, you need the appropriate treatment. If an anti-thrush cream does not deal with the problem within a few days, or if the itching comes back, see your doctor. This may actually worsen the condition, because you can become allergic to some of the ingredients. The usual mistake with vulval itching is to assume that you have thrush, and keep on applying anti-thrush creams that you have bought from a pharmacy. And sometimes only the vulval skin is affected, so the diagnosis may come as a surprise. The lips of the vulva (the labia) are covered by ordinary skin, so the area can be affected by conditions such as eczema and psoriasis. Itchiness of the vulva is almost never caused by a sexually transmitted infection, but is usually a result of thrush or a skin condition.
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