Pruritis vulvae Etiology: 1. Vaginal discharge : Trichomonas vaginalis, Candida albicans 2. Local skin lesion: Psoriasis, Dermatitis 3. Vulvar infection: Fungal, Viral, Parasitic, STD 4. Medical disorders: Glycosuria 5. Deficiency: Fe, Folic acid, Vit B12 Vit A 6. Psychosomatic causes Investigations Age of onset Intensity of itching Duration Vaginal discharge Contraceptive practice Allergy- nylon, soap, detergent. DM Liver disorder Thyroid Hematological disorder Special Investigations Microscopic examination: Vaginal discharge / vulval scarping Urine examination: Sugar, Protein and pus cells. Blood examination: CBC, Thyroid profile, Glucose, LFT, RFT Stool examination: Ova, Parasite, Cyst. Treatment Maintain local hygiene. Loose fitting clothing Local topical application: antibiotics/ clobetasol propionate Treat specific disease Surgery: Neoplasia invasion

1. Pruritis vulvae
Dr. Yashika

2. Pruritis vulvae
Etiology:
1. Vaginal discharge : Trichomonas vaginalis, Candida albicans
2. Local skin lesion: Psoriasis, Dermatitis
3. Vulvar infection: Fungal, Viral, Parasitic, STD
4. Medical disorders: Glycosuria
5. Deficiency: Fe, Folic acid, Vit B12 Vit A
6. Psychosomatic causes

3. Investigations
Age of onset
Intensity of itching
Duration
Vaginal discharge
Contraceptive practice
Allergy- nylon, soap, detergent.
History :

4. DM
Liver disorder
Thyroid
Hematological disorder
General examination :

5. Special Investigations
1. Microscopic examination: Vaginal discharge / vulval scarping
2. Urine examination: Sugar, Protein and pus cells.
3. Blood examination: CBC, Thyroid profile, Glucose, LFT, RFT
4. Stool examination: Ova, Parasite, Cyst.

6. Treatment
• Maintain local hygiene.
• Loose fitting clothing
• Local topical application: antibiotics/ clobetasol propionate
• Treat specific disease
• Surgery: Neoplasia invasion