Vulvar itching for months: what to know

Long-lasting itch can arise from fragranced washes, pads, laundry products, tight clothing or friction. Skin conditions such as Contact Dermatitis, Atopic Dermatitis, Psoriasis or Lichen Planus can affect vulvar skin. A Skin Yeast Infection is another possibility, especially when there is soreness, redness or discharge, but symptoms alone cannot confirm it. Scabies may cause intense itch and can affect other household members.

Rinse gently with lukewarm water, pat dry, and avoid douching, scented products and self-directed repeated treatments. Choose loose, breathable underwear and change out of damp clothing. Arrange an appointment with a gynaecologist, dermatologist or primary-care clinician; mention when the itch began, products used, discharge, pain, skin colour or texture changes, and any treatments tried.

Seek prompt medical care for an ulcer, bleeding, a new persistent skin thickening or colour change, marked swelling, fever, severe pain, or difficulty passing urine. An examination is also appropriate when itching keeps returning or disrupts sleep, even without these warning signs.

Could a product or medication be irritating my skin? Do I need an examination or a swab? Which treatments should I stop, and what changes should prompt a follow-up visit?