Vaginal discomfort refers to any condition that causes irritability, itchiness or pain in the vagina. A number of different causes can result in vaginal discomfort but the most common include
- Vaginitis : A soreness and swelling in and around the vagina that is usually caused by irritation or an infection
- Atrophic vaginitis : Commonly experienced by post-menopausal women. It is the drying, thinning, and inflammation of the vaginal walls. It can lead to vaginal dryness, itching, and burning.
- Bacterial vaginosis : An imbalance of the usual bacteria found in the vagina. Bacterial vaginosis is not an STI. However, it can cause vaginal itchiness and thick, unusual discharge. Bacterial vaginosis is usually treated with antibiotics.
- Candidiasis (yeast infection) : Also known as a vaginal yeast infection. Yeast infections are extremely common. They can lead to abnormal discharge, soreness and itching around the vulva. Yeast infections can be treated with specific creams that are available at most local pharmacies.
- Anogenital pruritus : This is intense itching around the anal and perianal area. Causes include poor anal hygiene, allergies and other health conditions. Treatments include creams, ointments and medications.
Symptoms
Symptoms that may be associated with vaginal discomfort are
- Vaginal itching
- Vaginal odor
- Abnormal vaginal discharge
- Painful sex
- Vaginal dryness
Atrophic vaginitis (Genitourinary syndrome of menopause)
Atrophic vaginitis is a condition commonly experienced by postmenopausal women due to reduced levels of estrogen. It is characterized by thinning, drying and inflammation of the vaginal walls.
Additionally, women with atrophic vaginitis have a greater chance of chronic vaginal infections and urinary problems. For this reason, atrophic vaginitis is sometimes referred to as genitourinary syndrome of menopause.
Symptoms
Symptoms of vaginal atrophic vaginitis may include
- A discharge from the vagina – usually a yellow color
- Painful intercourse
- Vulvar itching (pruritus)
- Burning with urination
- Urgency with urination
Diagnosis and treatment
Your doctor can diagnose atrophic vaginitis based on your history and physical exam. In some cases, they may recommend some basic tests to rule out other possible causes.
Treatment of atrophic vaginitis may include a combination of estrogen creams, vaginal ointments or hormone replacement therapy if necessary. Some natural treatments may also help if symptoms are not too severe. However, always speak to your doctor prior to starting any new treatments.
Anogenital pruritus
Anogenital pruritus is a condition that is defined by intense itching that affects the anal and perianal area. Although women of any age may be affected, it is most commonly seen in postmenopausal women due to loss of estrogen.
Anogenital pruritus may be caused by infections, an allergic reaction or an irritation to items like soaps, douches or perfumes. It can also be caused by a yeast infection (candidiasis) or another underlying medical condition – i.e. psoriasis, lichen simplex chronicus
Anogenital pruritus should always be diagnosed by a medical professional.
Diagnosis and treatment
Diagnosis of anogenital pruritus may or may not require formal diagnostic tests. This will depend on the history and examination. Treatment options may involve ointments, steroid creams or medications aimed at treating the underlying cause.
