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- Mon Nov 28, 2005 1:25 pm
Hi. I'm 22 and have only had one partner, my boyfriend (23) of 3 years, but he has had several partners before me. Since we've been together we've both seen the doctor for a check up. We were told we were both clean. Either ways, we're monogamous and we've never used a condom. But ever since we've been together, I always seem to be itchy about 24 hours after sex for a day or two. I feel fine after a couple of days. BUT if I do have sex while I'm itchy, my vagina stops to itch. It feels like an itch right after my vaginal opening and sometimes on my labia. Maybe we're too active? I've heard that small cuts are possible and too much friction? We have 2-3 times of sex per day and almost everyday of the week. I'm small, while my boyfriend is quite well endowed. I know I don't have yeast infection, odor, etc. though I am prone to UTI's. I do frequently check myslef but everything seems fine down there and am on Ortho-Tri Cyclen Lo. As far as I know - I'm not allergic to anything. Please help me understand this itch? Is it normal? Thank you for your time.
| Dr. Tamer Fouad
- Mon Jan 02, 2006 5:57 pm
Vulvovaginal itching generally is not a normal finding in healthy women. Itching is usually most noticeable with a yeast infection, though it may occur with any type of infection or irritation. An irritated vaginal lining, which may be particularly itchy or painful during intercourse, is usually a more prominent symptom of atrophic vaginitis (such as occurs in postmenopausal women). Atrophic vaginitis is an inflammation of the vagina due to thinning and shrinking tissues and decreased lubrication of the vaginal walls.
Atrophic vaginitis is typically caused by a decrease in estrogen, as normally occurs after menopause. The disorder may occur in younger women who have had surgery to remove their ovaries. Some women experience it immediately after childbirth or while breastfeeding, since estrogen levels are lower at these times.
Pain and itching when urinating may occur in trichomoniasis. Other dermatologic conditions (eg, lichen sclerosis and, rarely, vulvar cancer) should also be considered, especially in the absence of candidal infection.
Usually a gynecologist will be able to tell by clinical examination and colposcopy what the problem is. If there is evidence of vaginal irritation this may be a manifestation of contact or allergic vaginitis. If on examination there is an a focal area of abnormal tisse a biopsy may be required.
1. Haefner HK. Current evaluation and management of vulvovaginitis. Clin Obstet Gynecol 1999;42:184-95.
2. Reilly BM. Practical strategies in outpatient medicine. 2d ed. Philadelphia: Saunders, 1991:1016-46.