causes and cure of Pruritus Vulvae

Women Health

causes and cure of Pruritus Vulvae

Pruritus literally means a sensation of itching and vulva is the name given to the entrance to the

vagina. It is a symptoms, not a disease in itself. Atleast 10 per cent of women all over the world

suffer from this complaint.

Pruritus vulvae is generally relieved through scratching in the initial stages. At a later stage, the

patient develops a burning sensation in this region. This can intensify to such an extent that

women suffering from this complaint prefer to remain indoors and refuse to go out. This problem

occurs more during the night. The patient may scratch the area during sleep and wake to find

that she has made herself bleed.


One of the main causes of pruritus vulvae is purulent and mucopurulent vaginal discharge. Due

to this discharge, the vulva region chafes. The resulting tenderness causes pain. Over 80 per

cent of these cases occur due to this cause. Prorates without vaginal discharge occurs in 15 to

20 per cent of the cases.

In some cases prorates vulvae may develop due to the presence of skin diseases not specific to

the vulva such as psoriasis, seborrheic dermatitis and scabies. Other causes include animal and

vegetable parasite infections which tend to cause pruritus public rather than prutitus vulvae,

conditions of the urinary track like continence of urine and pyuria. Highly acidic urine sometime

causes soreness which subsequently leads to pruritus. Glycosuria and diabetes also contribute

to this condition.

Pruritus vulvae can result from skin sensitivity to various kinds of soaps, bath salts, deodorants

and antiseptics which contain particular phenols and cresols and from certain drugs. These

allergies may also be caused by nylons and tight-fitting clothes. In rare cases the disorders may

develop as an offshoot of certain major problems like jaundice, uraemia, and other toxic


Many mental disturbances can affect the sexual bias and psychoneurosis results. The skin of the

vulva region can also be a site of psychoneurosis, nervous fatigue and rough clotting Sexual

frustration and guilt feelings can also lead to pruritus vulvae.


There is always some underlying cause for the onset of purirtus, but scratching soon damages

the skin and causes secondary changes which may obscure the primary cause. In addition, the

skin may become sensitized to some local application. IN long standing cases, the diagnosis of

both the initial cause and the reason for the maintenance of the irritation may become extremely

difficult, particularly when more than one factor is involved. Successfully treatment depends on

two cardinal principles, namely, to remove any underlying cause and to stop further damage to

the skin by scratching or by unsuitable application.

The most important factor in the treatment of pruritus vulvae caused by infections through

fungus or parasites, is cleanliness. Bowels should be kept clean either through enemas or a

natural diet. The patient must wear clean clothes to avoid this problem. After urination, the

vagina should be thoroughly washed with plain cold water. IN case of severe pruritus, it is

advisable to wash the vulva with neem leaves decoction and apply green light charged coconut


Treatments like neem water vaginal douches help kill bacteria and fungus. The affect reaction

should be exposed to green coloured light or rays of the sun through green coloured glass for 25

to 30 minutes. This will help reduce infections.

Purritus vulvae resulting from discharges from the uterus, cervix or vagina causes

inflammations. This can be reduced by regular application of mud packs on the lower abdomen,

twice or thrice a day. A cold hip bath may also be taken for 10 minutes. An alternate hot and cold

hip bath is especially useful in reducing inflammation.

In cases of pruritus resulting from diabetes mellitus, glycosuria, uraemia, jaundice and other

toxic states, specific diets and treatments for these complaints should be followed before pruritus

could be cured.

Skin diseases like psoriasis, scabies, fungal infections should be treated through nature cure

methods. These include steam baths, mud baths, immersion baths, sun baths, spine baths and


Diet plays an important role in the treatment of pruritus vulvae. Initially the patient should be put

on a juice fast for a few days. She should drink fruit and vegetable juices, diluted with water on

50 : 50 basis. A warm water enema should be used daily during the period of fasting to cleanse

the bowels.

Fasting helps relieve the toxic conditions not in just the affected region but also the entire body.

Thus inflammation is reduced. The diet after the juice fast could include seasonal fruits, salads,

sprouts, vegetables, soups or buttermilk. Cooked food should be included in the diet only much


The patient should avoid all processed, refined and denatured foods such as white sugar, white

flour and all products made from them as well a s coffee, tea, eggs, meat, spicy and oily foods.

Alcohol and smoking are to be completely eliminated.

A natural mode of life will go a long way in overcoming pruritus vulvae. It will also lead to

improvement in health in general.

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