PRURITUS VULVA

Pruritus  (or pruritis ) means itching  , Vulva means  female genitalia.

DEFINITION

• Pruritus Vulvae commonly known as vulvae itching . it refers to itching of the external  female genital area known as the vulva.
• The itching can range from mild to severe .
• This condition can be caused by a variety of factors including infections , skin conditions , hormonal changes , allergic reactions and irritants.

CAUSES OF PRURITUS VULVAE

1. Infections such as Candida albicans , bacterial vaginosis , genital  viral warts , pinworms , cytolytic vaginosis  or sexually transmitted infections (STIs) .

2. Contact Dermatitis : Allergic reactions to soaps , perfumes , detergents or fabrics that come into contact with the vulva can lead to itching.

3. Skin conditions : Eczema ,Psoriasis, lichen sclerosis .

4. Allergic contact dermatitis

6. Nerve disorders : Conditions like neuropathy can cause abnormal nerve sensations
7. Other conditions such as Diabetes , thyroid disorder or certain cancer can cause itching in the vulvae area.

SYMPTOMS OF PRURITUS VULVAE

• Itching
• Redness : The skin of the vulva may appear red or inflamed , especially in cases of prolonged scratching or irritation.
• Swelling
• Burning sensation
• Discomfort or pain
• Changes in skin texture : The skin of the vulva may become thickened or scaly in response to chronic itching and irritation.
• Vaginal discharge.

Role of Ayurveda for Pruritus Vulvae

• In ayurveda pruritus vulvae is referred as “Yoni kandu” . A condition under Kaphaja yonivyapath.   kapha dosha is vitiated.

HERBS

• Triphala

A (amalaki , bibhitaki and haritaki ) used to support digestion and detoxification.

• Neem

Neem is known for its antimicrobial and anti-inflammatory properties.

• Aloe vera

Aloe Vera gel is cooling and soothing , making it a common remedy for skin irritations. It may be applied topically to the vulva to reduce itching and inflammation.

• Turmeric

Turmeric is a anti-inflammatory and antiseptic herb. It may be taken internally or applied topically to help reduce inflammation and itching.

• Guduchi

Guduchi support the immune system and reduce inflammation.

HOME REMEDIES

1. Warm water sitz bath : Soaking in a warm water sitz bath for 10 to 15 minutes can help soothe itching and irritation.

2. Cold compress : Applying a cold compress or ice pack wrapped in a clean cloth to the vulva can help reduce itching and inflammation.

3. Losses cotton clothing : Wearing loose, cotton undergarments  and clothing can help keep the area dry and reduce irritation.

4. Avoid irritants : Avoid using scented soaps, perfumed products and harsh chemicals in the genital area as they can irritate the skin.

5. Apple cider vinegar : Diluting apple cider vinegar with water and applying it to the vulva with a cotton ball help restore the natural pH balance of the skin and reduce itching.

6. Coconut oil : Applying virgin coconut oil to the vulva can help moisturize the skin and reduce itching and irritation.

7. Yogurt : Eating plain , unsweetened yogurt applying it topically to the vulva help restore the natural balance of bacteria in the genital area and reduce itching.

9. Proper hygiene : Practice good hygiene , including gently washing the genital area with mild soap and water and patting it dry.
10. Stay hydrated : Drinking plenty of water can help keep the skin hydrated and reduce itching.

DIETARY CHANGES

• Anti-inflammatory foods : Include foods that are rich in anti-inflammatory compounds such as fruits , vegetables , whole grains , nuts , seeds etc.

• Avoid irritants : Certain foods may trigger or worsen symptoms . common irritants include spicy foods , caffeine , alcohol and acidic foods (like citrus fruits and tomatoes).

• Probiotics : Incorporate probiotic – rich foods such as yogurt with live cultures , kefir , kimchi to help maintain a healthy balance of gut bacteria .

• Omega -3 fatty acids : Foods rich in omega- 3 fatty acids such as flaxseeds , chia seeds , walnuts and fatty fish as they have anti-inflammatory properties that help reduce itching and inflammation.

• Avoid processed foods.

• Stay Hydrated.