Dr Dimple Doshi

Treatment for Vulval and vaginal Itching In Goregaon, Mumbai

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Vulval and vaginal itching are commonly described by everyone as vaginal itching though they are slightly different as far as the causes and treatments are concerned.

The vulva is the outer part of the female genitals; including the lips; clitoris; urethra or bladder opening and vaginal opening. The vagina is the internal tube that leads from the uterus to the vulva.

ICD-10 Codes for Vulval and Vaginal Itching:

Vulval and vaginal itching can be caused by various conditions. Relevant ICD-10 codes include:

  • N76.0: Acute vaginitis (if the itching is associated with acute inflammation)
  • N76.1: Subacute vaginitis (if the itching is due to subacute inflammation)
  • N76.2: Chronic vaginitis (if the itching is due to chronic inflammation)
  • N95.2: Vulvar pruritus (itching of the vulva)
  • N89.8: Other specified disorders of the vagina (used if the itching is due to unspecified vaginal conditions)
  • B37.3: Candidiasis of the vulva and vagina with vaginitis (for yeast infections causing itching)

CPT Codes for Diagnosis and Treatment of Vulval and Vaginal Itching:

Diagnosis and management may involve several procedures:

  1. 99201 – 99215: Office or other outpatient visits (for evaluation and management of itching)
  2. 87270: Smear, cervical or vaginal (for detecting infections or abnormalities causing itching)
  3. 87491: Chlamydia trachomatis test (if sexually transmitted infections are suspected)
  4. 87591: Gonorrhea test (if sexually transmitted infections are suspected)
  5. 87800: Rapid diagnostic test for infectious agents (if a quick test for infections is performed)
  6. 87110: Culture, aerobic bacteria, any other specimen (if a bacterial infection is suspected)

Vaginal-and-vulval-itching

Vaginal itching is uncomfortable and sometimes painful and happens due to a variety of reasons. 

Most of the time; vulval and vaginal itching is not a cause of concern while at times it may indicate a more significant disease like diabetes. If you are looking for an experienced gynecologist in Mumbai to get the right treatment and Book an appointment with Dr. Dimple Doshi by calling +91-9820686823.

Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.

  1. Itching is severe enough to disrupt your daily life or sleep.

  2. If itching persists for more than a week.
  3. If itching is associated with blisters or ulcers near vagina
  4. If there is pain  in the genital region
  5. If there is unusual vaginal discharge
  6. If there is discomfort during sexual intercourse
  7. If there is trouble urinating
  1. Irritants: Irritating chemicals like soap; bubble baths; feminine sprays; douches; fragrant creams and ointments; detergents; fabric softeners ; scented toilet papers can cause vaginal itching.
    If you have diabetes or urinary incontinence; leaking urine also can cause vaginal irritation and itching.
  2. Skin diseases: Skin diseases like psoriasis; eczema can cause redness and itching in vaginal region.
  3. Yeast infection or candidiasis: Yeast is a naturally occurring fungus which is present in the vagina; and does not cause problems . But if the growth goes unchecked; uncomfortable yeast infection develops leading to a lot of itching. It affects about 3 out of 4 women at some point in their lives.  Along with itching; it is associated with lumpy cottage cheese like  discharge and burning.
  4. Bacterial vaginosis: It is caused by imbalance between good and bad bacteria in the vagina. It is also associated with abnormal foul smelling discharge which is dull gray or white in color. It may be foamy also.
  5. Sexually transmitted diseases: STDs like chlamydia; genital warts; trichomoniasis etc. can cause vaginal itching.  
  6. Menopause: Excessive thinning of vaginal mucosa in menopause can lead to dryness ; irritation and itching.  due to menopause
  7. Physical and emotional stress.
  8. Poor hygiene.
  9. Worm infestation.
  10. Vulval cancer

Your symptoms would necessitate the visit to your gynecologist; who will

  1. Take proper history; ask about your symptoms; how severe they are and how long they have lasted.
  2. Ask about your sexual activities
  3. Perform your physical examination; which includes visual inspection of the vulva; put a speculum to see inside the vaginal canal; insert a gloved finger inside to check all the organs for any abnormalities. Your doctor may take a swab sample and may ask you to do a urine routine or other blood tests.

Treatment of vaginal itching depends upon its cause: like:

Yeast infection: Vaginal antifungal tablets and /oral antifungals.

Bacterial vaginosis: Oral antibiotics.

Sexually transmitted diseases: Treatment according to the type of infection; like antibiotics; antivirals or antiparasitics.

Vaginal thinning due to menopause can be corrected by using estrogen cream.Steroid creams may e used to control itching if it is due to any allergy or local irritants.

Treatment of vaginal discharge depends on its type:

Antibiotics like azithromycin, metronidazole , amoxyclav and antifungals like fluconazole will help cure the infection. Intravaginal pessaries are  also helpful.

Home remedies with honey and yogurt; apple cider vinegar; tea tree oil etc. may be tries when proper medical help is not available.

  1. Practice good personal hygiene. ; this includes cleaning your private parts with water and plain soap without fragrance. And keeping the area dry with tissue paper; and not the regular cloth towels.
  2. Wipe from front to back. It also reduces the risk of urinary infections.
  3. Avoid dyes and fragrances.
  4. Dry your innerwear in the sunlight . Avoid wearing damp clothes.
  5. Wear cotton panties
  6. Do not wear very tight clothes for a very long period of time.
  7. Lose weight.
  8. Keep your sugar in control if you are diabetic.
  9. Use probiotics
  10. Use condoms.