When should you see a doctor about vaginal itching?

Itching may affect the vulva, the vaginal opening, or the skin around it. Irritation from scented products, sweat, friction, or a reaction to a product can be responsible. A clinician may also consider vaginal thrush, bacterial vaginosis, trichomoniasis, genitourinary syndrome of menopause, or lichen sclerosus. Symptoms can overlap, so the feeling alone cannot identify the cause.

Arrange an assessment when symptoms do not settle after removing a possible irritant, keep returning, or differ from a previous episode. Vaginal itching with unusual discharge or odour may need testing rather than self-treatment. You can read more about [Vaginal Itching](/symptoms/vaginal-itching/).

Wash gently with lukewarm water, pat dry, and avoid douching, perfumed washes, deodorants, and fragranced pads. Choose loose clothing and breathable underwear, and avoid scratching where possible. Do not insert creams or use leftover medicine unless a clinician or pharmacist has advised it. Note when the itching started, where it is felt, any discharge or odour, recent antibiotics, new products, sexual exposure, pregnancy, and treatments already tried. Depending on the cause, care may include antifungal treatment for thrush or topical steroid treatment for vulval skin.

Seek prompt medical advice for severe swelling, marked pain, fever, lower abdominal pain, blisters or open sores, bleeding unrelated to a period, or rapidly changing skin. If you are pregnant, have a weakened immune system, or have possible exposure to a sexually transmitted infection, contact a clinician sooner. Emergency help is appropriate for severe illness, fainting, or difficulty passing urine.

Ask what areas appear affected, whether an examination or swab is needed, which causes fit your symptoms, and how long treatment should take. Ask which products and sexual activity to avoid during treatment, what to do if symptoms return, and whether a partner also needs assessment.