Post partum vaginal itch: what to know

After birth, stitches, tears, swelling, lochia, pads, soaps or moisture can irritate the vulval skin. Hormonal changes may cause dryness, especially while breastfeeding. Thrush can cause intense itch with soreness or a thick discharge, but similar symptoms can occur with other infections or skin problems.

A clinician can inspect the vulva and vagina and test discharge when needed. Lichen Sclerosus can affect vulval skin and needs specific assessment. Genitourinary Syndrome of Menopause is usually linked with later hormonal change, but its symptoms can resemble postpartum dryness.

Rinse gently with water, pat dry and avoid scented washes, sprays, douches and scrubbing. Change damp pads or underwear, choose loose breathable clothing and avoid scratching. Do not insert creams or use leftover antibiotics without advice, particularly if you are breastfeeding or have healing stitches.

If examination confirms thrush, your clinician may recommend Antifungal Treatment for Thrush. If the problem is an inflammatory vulval skin condition, Topical Steroid Treatment for Vulval Skin may be appropriate; the right product and duration depend on the diagnosis.

Arrange prompt assessment if itching is severe, persistent, spreading or accompanied by unusual discharge, strong odour, sores, blisters, bleeding, fever, increasing pain or difficulty passing urine. Seek urgent care for rapidly worsening swelling, severe pain, heavy bleeding or feeling faint. Contact your maternity team if a wound or stitches look open or infected.

Could this be thrush, irritation, an infection or a skin condition? Do I need a swab or examination? Which products are safe while breastfeeding? How should I care for stitches or a tear? What changes mean I should return urgently?