Burning sensation in the vulva

Introduction The irritating sensation of the vulva is caused by symptoms such as burning and itching caused by vulvovaginal inflammation and other causes. At the same time, there will be symptoms of leucorrhea, spread to the urethra, but also have frequent urination. Urgency, dysuria and other symptoms. Correctly face the disease, the prevention of vulvar burning and irritation should pay attention to strengthen exercise, improve the body's resistance, develop healthy and good health habits, and prevent disease and cure the disease. The cause may be gynecological problems such as pelvic inflammatory disease, cervicitis, vaginitis, vaginal candida infection, and vulvar inflammation caused by infection with related bacterial pathogens.

Cause

Causes of irritating irritations: inflammation or candida infections. Consider gynecological problems such as pelvic inflammatory disease, cervicitis, vaginitis, vaginal candida infection, and vulvar inflammation caused by infection with related bacterial pathogens. The most common is Candida infection. Most of them are symptoms caused by gynecological inflammation. It may be due to the fact that it is not very clean and hygienic.

an examination

Related inspection

Gynecological examination of gynecological inflammation

1. Gynecological examination: Through routine gynaecological examination, the possibility of disease is initially screened, and the secretion specimen is taken for necessary examination.

2, vaginal secretion examination: check the vaginal cleanliness, whether there are mold, trichomoniasis, bacteria (clue cells, pus cells) infection.

3, vaginal secretion culture: check which pathogens are infected, to provide an accurate diagnosis basis for doctors.

4. Drug sensitivity test: It is sensitive to which kind of drug is detected by the pathogen, and can be targeted to improve the therapeutic effect.

5, electronic colposcopy: can magnify 50 times accurate and clear observation of the relevant lesions in the vagina, cervix, etc., and accurately select suspicious parts for biopsy, early detection of cervical cancer and precancerous lesions, early diagnosis is quite High value.

Differential diagnosis

Differential diagnosis of vulvar burning irritations:

First, bacterial vaginosis

1, the symptoms of this disease patients about 10% to 50% clinically asymptomatic, symptomatic people complained of gray leucorrhea with fishy smell, vaginal burning sensation, itching.

2, the body secretions are easy to wipe off the vaginal wall, the vaginal mucosa can be no congestion, no redness.

3, common complications and gynecological cervicitis, pelvic inflammatory disease occur at the same time, often with trichomonas vaginitis at the same time, it is reported that 86% of women with positive culture of trichomoniasis combined with this disease. In addition, bacterial vaginosis during pregnancy can often lead to poor perinatal outcomes such as chorioamnionitis, amniotic fluid infection, premature rupture of membranes, premature delivery and postpartum vaginal or endometrial infection of the vagina.

Second, trichomonas vaginitis

1, the symptoms of leucorrhea increased, can be a thin slurry, grayish yellow or yellow-green, sometimes mixed with blood, 20% vaginal discharge with foam. The vulva has itching, burning, and sexual pain is also common. When the infection involves the urethra, there may be dysuria, urgency, and even hematuria.

2, physical examination of the disease can be seen in the vagina and cervical mucosa congestion and edema, often scattered red spots, the posterior Qianlong has a large number of vaginal discharge.

3, common complications Trichomonas can consume epithelial glycogen, change the pH value in the vagina, hinder the growth of lactobacilli, it is easy to cause secondary bacterial infection, at this time the leucorrhea is grass green, smelly.

Third, Candida vaginitis

1, symptoms: the most common symptoms are more leucorrhea, vulva and vaginal burning itching. It affects the urethra and can also have frequent urination. Urgency, dysuria and other symptoms.

2, signs: typical leucorrhea is curd-like or lumpy, vaginal and vaginal vestibular mucosa highly edematous, covered with a white curd-like film, distributed in spots or flakes, easy to peel, under the damaged tide red base, Or form an ulcer, or leave ecchymosis, severe swelling of the labia minora. However, leucorrhea does not all have the above-mentioned typical characteristics, from water samples to curd-like leucorrhea, if any are some thin and clear serous exudates, which often contain white flakes.

Fourth, senile vaginitis

1, symptoms: mainly for the increase of leucorrhea, mostly yellow water-like, severe cases can be purulent, odorous, sometimes pale blood, and even a small amount of vaginal bleeding. Often accompanied by lower abdomen and vaginal swelling or vaginal skin affected by inflammatory secretions, can produce mild itching.

2, signs: visible vaginal senile changes, wrinkled wall disappeared, epithelial phenotype, mucosal congestion, the surface often scattered in the point of congestion, severe epithelial exfoliation to form superficial ulcers, the cervix is also a little congestion. If senile vaginitis is not cured for a long time, the vaginal elasticity disappears after the submucosal connective tissue fibrosis, which makes the vagina narrow, especially in the Qianlong section, which makes it difficult to expose the cervix.

5. Fungal vulvitis: Vulvitis caused by a yeast-like infection. Often coexist with fungal vaginitis.

Sixth, vestibular gland inflammation: more common in women of childbearing age. It is because the vestibular gland is infected by bacteria such as Staphylococcus, Streptococcus, Escherichia coli, etc., causing acute inflammation.

Seven, infantile vulvitis: 15 days after the birth of a newborn, there are various bacteria in the vagina. In addition, due to the immature development of the external reproductive organs of infants and young children, the ability to resist bacterial infection is poor, and the vulva is easily soaked by urine, the feces are contaminated, and the child loves to sit around. These are all causes of infection and can cause vulva in infants and young children. inflammation.

Eight, non-specific vulvitis: stimulating physical and chemical factors in life, not paying attention to health, physical weakness, can make women genital infestation by bacteria, causing vulvitis, such as cervix, vaginal inflammation; or wearing airtight nylon underwear to make vaginal secretion Excessive substances, irritating the vulva, urine impregnation of the vulva, use of dirty sanitary napkins, toilet paper to cause infection of the vulva. These factors will create conditions for the growth and reproduction of bacteria in the genital area. However, because this vulvitis is not caused by specific pathogens, it is mostly mixed infection foods such as Staphylococcus, Streptococcus, and Escherichia coli.

Nine, acute vulvar ulcers: caused by vulvitis of various reasons, generally a manifestation of vulvitis lesions.

Ten, vestibular gland cysts: due to long-term chronic inflammation, vestibular large gland duct obstruction, accumulation of glandular fluid, cystic dilatation caused by glands, or due to acute vestibular gland inflammation subsided, pus was absorbed. The vestibular gland cyst and the vestibular gland abscess can transform each other.

XI, sexually transmitted diseases: in the pathogenesis of vulvar condyloma, soft chancre, genital herpes, gonorrhea and other sexually transmitted diseases, the vulva will appear inflammation.

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