Cracked skin from a yeast infection

Thrush can cause itching, burning, redness and soreness around the vulva. Scratching, rubbing, moisture and friction can damage already-irritated skin, leading to tiny splits or painful cracks. Some people also notice thick discharge without a strong smell; symptoms vary.

Cracked skin is not specific to yeast. Contact dermatitis, eczema, bacterial infection, herpes and other vulval conditions may look similar. A clinician may examine the skin, ask about recent antibiotics, diabetes, pregnancy and previous episodes, and test a swab if the diagnosis is uncertain.

Rinse with lukewarm water, pat dry and avoid scented washes, wipes, deodorants and bubble baths. Wear loose, breathable clothing, change out of damp underwear and avoid sex until the skin is comfortable. Try not to scratch; keeping nails short can reduce accidental damage.

Ask a pharmacist or clinician whether [Antifungal Treatment for Thrush](/treatments/medical-gynaecology/antifungal-treatment-for-thrush/) is suitable. Use the recommended product as directed and avoid borrowing creams. [Vaginal Itching](/symptoms/vaginal-itching/), [Vaginal Discharge](/symptoms/vaginal-discharge/) and [Vulval Pain](/symptoms/vulval-pain/) describe related symptoms.

Arrange an appointment if this is your first episode, the cracks are severe, symptoms keep returning or treatment does not help. Seek prompt care for sores or blisters, unusual bleeding, pus, fever, severe pain, difficulty passing urine or rapidly spreading redness. Pregnancy, diabetes or a weakened immune system are reasons to seek tailored advice early.

Does this look like thrush or another skin condition? Do I need a swab or sexual health test? Which treatment is safe if I am pregnant or breastfeeding? How can I prevent the skin from splitting again?