gynecology and obstetrics
Vaginal Itching and Discharge
Treatment of Vaginal Itching and Discharge
Any specific cause of the itching or discharge is treated. Soaps and unnecessary topical preparations (eg, feminine hygiene sprays) should be avoided. If a soap is needed, a hypoallergenic soap should be used. Intermittent use of ice packs or warm sitz baths may reduce soreness and pruritus. Flushing the genital area with lukewarm water may also provide relief. If chronic vulvar inflammation is due to being bedbound or incontinent, better vulvar hygiene may help. Prepubertal girls should be taught good vulvar hygiene (eg, wiping front to back after bowel movements and voiding). Women should be advised not use vaginal douches. If symptoms are moderate or severe or do not respond to other measures, drugs may be needed. For pruritus, topical antifungals or low-potency corticosteroids (eg, 1%hydrocortisonetwice a day as needed) can be applied to the vulva, if appropriate, but not into the vagina. 