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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Vaginal itching and discharge - adult and adolescent</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Vaginal discharge refers to secretions from the <a test="test" href="./002342.htm">vagina</a>. The discharge may be:</p><ul><li>Thick, pasty, or thin</li><li>Clear, cloudy, bloody, white, yellow, or green</li><li>Odorless or have a bad odor</li></ul><p>Itching of the skin of the vagina and the surrounding area (vulva) may be present along with vaginal discharge. It can also occur on its own.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Glands in the cervix and the walls of the vagina normally produce clear mucus. This is very common among women of childbearing age. </p><ul><li>These secretions may turn white or yellow when exposed to the air.</li><li>The amount of mucus produced varies during the menstrual cycle. This happens due to the change in hormone levels in the body. </li></ul><p>The following factors can increase the amount of normal vaginal discharge:</p><ul><li>Ovulation (the release of an egg from your ovary in the middle of menstrual cycle)</li><li>Pregnancy</li><li>Sexual excitement </li></ul><p>Different types of infections may cause itching or an abnormal discharge in the vagina. Abnormal discharge means abnormal color (brown, green), and odor. It is associated with itching or irritation.</p><p>These include:</p><ul><li>Infections spread during sexual contact. These include chlamydia, gonorrhea (GC), and trichomoniasis.</li><li>Vaginal yeast infection, caused by a fungus.</li><li>Normal bacteria that live in the vagina overgrow and cause a gray discharge and fishy odor. This is called bacterial vaginosis (BV). BV is not spread through sexual contact. </li></ul><p>Other causes of vaginal discharge and itching may be:</p><ul><li>Menopause and low estrogen levels. This may lead to vaginal dryness and other symptoms (<a test="test" href="./000892.htm">atrophic vaginitis</a>).</li><li>Forgotten tampon or foreign body. This may cause a foul odor.</li><li>Chemicals found in detergents, fabric softeners, feminine sprays, ointments, creams, douches, and contraceptive foams or jellies or creams. This may irritate the vagina or the skin around the vagina.</li></ul><p>Less common causes include:</p><ul><li>Cancer of the vulva, cervix, vagina, uterus, or fallopian tubes</li><li>Skin conditions, such as desquamative vaginitis and <a test="test" href="./000867.htm">lichen planus</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Keep your genital area clean and dry when you have vaginitis. Make sure to seek help from health care provider for the best treatment.</p><ul><li>Avoid soap and just rinse with water to clean yourself. Using a spray bottle to wash with water after urination may be helpful.</li><li>Soaking in a warm but not hot bath may help your symptoms. Dry thoroughly afterward. Rather than using a towel to dry, you may find that gentle use of warm or cold air from a hair dryer may result in less irritation than the use of a towel.</li></ul><p>Avoid douching. Many women feel cleaner when they douche, but it may actually worsen symptoms because it removes healthy bacteria that line the vagina. These bacteria help protect against infection.</p><p>Avoid current popular trends like vaginal steaming which may increase risk of vaginal infections.</p><p>Other tips are: </p><ul><li>Avoid using hygiene sprays, fragrances, or powders in the genital area.</li><li>Use pads and not tampons while you have an infection.</li><li>If you have diabetes, keep your blood sugar levels in good control. </li></ul><p>Allow more air to reach your genital area. You can do this by: </p><ul><li>Wearing loose-fitting clothes and not wearing panty hose.</li><li>Wearing cotton underwear (rather than synthetic), or underwear that has a cotton lining in the crotch. Cotton increases air flow and decreases moisture buildup.</li><li>Not wearing underwear. </li></ul><p>Girls and women should also: </p><ul><li>Know how to properly clean their genital area while bathing or showering.</li><li>Wipe properly after using the toilet -- always from front to back.</li><li>Wash thoroughly before and after using the bathroom. </li></ul><p>Always practice safe sex. Use condoms to avoid catching or spreading infections. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Contact your provider right away if:</p><ul><li>You have vaginal discharge</li><li>You have fever or pain in your pelvis or belly area</li><li>You may have been exposed to STIs</li></ul><p>Changes that could indicate a problem such as infection include:</p><ul><li>You have a sudden change in the amount, color, odor, or consistency of discharge.</li><li>You have itching, redness, and swelling in the genital area.</li><li>You think that your symptoms may be related to a medicine you are taking.</li><li>You are concerned that you may have a STI or you are unsure if you have been exposed.</li><li>You have symptoms that get worse or last longer than 1 week despite home care measures.</li><li>You have blisters or other sores on your vagina or vulva. </li><li>You have burning with urination or other urinary symptoms. This may mean that you have a urinary tract infection.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at Your Office Visit</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Your provider will:</p><ul><li>Ask about your medical history</li><li>Perform a physical exam including a pelvic exam</li></ul><p>Tests that may be performed include:</p><ul><li>Cultures of your cervix</li><li>Examination of vaginal discharge under the <a test="test" href="./003916.htm">microscope (wet prep)</a></li><li><a test="test" href="./003911.htm">Pap test</a></li><li>Skin biopsies of the vulvar area </li></ul><p>Treatment depends on the cause of your symptoms. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Pruritus vulvae; Itching - vaginal area; Vulvar itching</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1112t.jpg" alt="Female reproductive anatomy" title="Female reproductive anatomy" class="side-img"/><a href="../imagepages/1112.htm">Female reproductive anatomy</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/17138t.jpg" alt="Vaginal discharge" title="Vaginal discharge" class="side-img"/><a href="../imagepages/17138.htm">Vaginal discharge</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19263t.jpg" alt="Uterus" title="Uterus" class="side-img"/><a href="../imagepages/19263.htm">Uterus</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Clutterbuck DJ. Sexually transmitted infections. In: Penman ID, Ralston SH, Strachan MWJ, Hobson RP, eds. <em>Davidson's Principles and Practice of Medicine</em>. 24th ed. Philadelphia, PA: Elsevier; 2023:chap 15.</p><p>Eckert LO, Lentz GM. Genital tract infections: vulva, vagina, cervix, toxic shock syndrome, endometritis, and salpingitis. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. <em>Comprehensive Gynecology</em>. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 23.</p><p>Seller RH, Symons AB. Vaginal discharge and itching. In: Seller RH, Symons AB, eds. <em>Differential Diagnosis of Common Complaints</em>. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 33.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 8/23/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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