You have been itching for 5 years it is worse at night you tried everything white patches and currently one side of the vulvae double in size?
Possible Causes
1. Lichen Sclerosus (LS): LS is a chronic skin condition that causes white patches and thinning of the skin. It commonly affects the vulvar area and can cause intense itching, especially at night. As the condition progresses, the affected skin may become wrinkled, scarred, and eventually lead to the enlargement of one side of the vulva.
2. Vulvar Psoriasis: Psoriasis is a common skin condition that can affect any part of the body, including the vulva. It is characterized by red, scaly patches that can cause itching, burning, and pain. Vulvar psoriasis can sometimes mimic the appearance of LS and may also lead to skin thickening and enlargement of the vulva.
3. Contact Dermatitis: Contact dermatitis is a skin irritation that occurs when the skin comes into contact with an allergen or irritant. Common allergens include latex, certain chemicals, fragrances, and even clothing materials. Contact dermatitis can cause itching, redness, and swelling of the affected area, and it may worsen at night due to increased skin sensitivity.
4. Eczema: Eczema is a group of skin conditions that cause dry, itchy, and inflamed skin. Vulvar eczema can affect the external genitalia and surrounding areas and may be triggered by various factors such as allergies, irritants, hormonal changes, and stress.
5. Infections: Certain infections, such as yeast infections or sexually transmitted infections (STIs), can cause itching, white patches, and swelling in the vulvar area. It is important to consult a doctor to rule out any underlying infections and receive appropriate treatment.
Recommendations:
1. Consult a Doctor: Given the duration and severity of your symptoms, it is crucial to consult a healthcare professional, preferably a gynecologist or dermatologist, who specializes in vulvar conditions. They will be able to accurately diagnose the underlying cause and recommend the most appropriate treatment.
2. Avoid Scratching: Scratching the affected area can worsen the itching and lead to further irritation and damage. Try to resist the urge to scratch, as it can prolong the healing process and increase the risk of infection.
3. Practice Good Hygiene: Maintain proper hygiene by gently cleansing the vulvar area with warm water and a mild, fragrance-free soap. Avoid using harsh soaps, feminine hygiene products, or douches, as these can irritate the skin.
4. Apply Moisturizers: Regularly applying a fragrance-free and hypoallergenic moisturizer can help soothe and hydrate the dry and itchy skin. Look for moisturizers specifically formulated for sensitive skin or the vulvar area.
5. Wear Loose-Fitting Clothing: Opt for loose-fitting, cotton underwear and pants to minimize friction and irritation in the vulvar area. Avoid wearing tight clothing, especially at night, as it can trap moisture and worsen itching.
Remember that self-diagnosis and self-treatment can be risky. It is essential to seek professional medical advice to determine the exact cause of your symptoms and receive appropriate treatment.