The vulva and genital area including women’s labia majora, men’s scrotum and perianal area is very easy to occur eczema parts, due to these parts of clothing wrapped, not breathable, while the stimulation of urine, feces or secretions, eczema is often more difficult to cure. Sometimes itching suddenly comes like a hundred claws scratching the heart, really itchy ah ~ ~ ~ today, we look at the vulva and genital area long eczema how to deal with. How is eczema of the perineum treated? Topical hormones are the drug of choice for treating eczema in the genital area of the vulva. Depending on the severity of the rash, doctors will choose different strengths of topical hormone creams. Some patients may refuse to use hormone creams because they are afraid of topical hormones, but in fact, the local side effects of hormones can be completely avoided with regular use under the guidance of a doctor; some patients may buy some creams containing topical hormones on their own because they are afraid of medicine, but because they do not know the strength of the hormones, improper use is often more likely to cause local skin atrophy and other side effects; some other patients buy compound topical hormone creams on their own. Most of the compounded topical hormone creams purchased by patients themselves contain menthol, camphorol, neomycin or the surface anesthetic lidocaine, etc. These substances can easily cause local irritation or allergy. For patients with chronic eczema, non-hormonal anti-inflammatory medications (tacrolimus ointment and pimecrolimus cream) can be used for maintenance treatment (topical application twice a week to the eczema area) to reduce flare-ups. A common side effect of both creams is increased burning or itching of the skin at the beginning of application, which usually resolves after 1-2 weeks of continuous use. If symptoms are significant, a topical moisturizing emollient can be applied first, followed by the cream.
Topical moisturizing emollients are an often overlooked part of treatment. In the vulva and perianal area, which require even more protection due to humidity and the presence of multiple irritants (such as excessive washing, use of various lotions or deodorants, etc.), it is important to use moisturizing emollients as often as possible. It is recommended to choose ointment formulations with simple ingredients that are less likely to irritate allergies, and preferably medical skin care brands that do not add fragrance. It’s too itchy, what should I do? Sudden itching in the genital area of the vulva is embarrassing, what should I do? Using topical anti-inflammatory creams is the most effective way to stop the itching and requires regular treatment as prescribed by your doctor. Moisturizing emollients can reduce local skin irritation and also provide effective relief from itching and can be applied at any time. Some topical over-the-counter compounding creams add local anesthetics to stop itching. It should be noted that surface anesthetics can easily cause contact allergies and should be avoided as much as possible. Daily morning and evening sitz baths with warm water can be cleansing, hydrating and soothing, but do not add any lotions or bubble baths to the water. Cold compresses can also relieve localized bouts of itching, you can use a clean, soft towel wrapped in an ice pack cold compress for a few minutes to relieve itching. If the itching is severe at night, you can take oral antihistamines to help stop the itching. Remember, don’t scratch hard or use hot water to stop the itch, the more you scratch the worse the itch will be. Is the more you wash, the better? Many patients with eczema in the genital area of the vulva think that eczema and unhygienic relationship, will be frequent washing, after the bowel wash, urine finished also wash, at least a dozen times a day. The more you wash, the better? Actually, it is not. Excessive washing will destroy the skin barrier, but will cause skin irritation and aggravate local eczema. Under normal circumstances, washing once a day with warm water is sufficient. It is recommended to use soap substitutes with emollient effects (soap blocks without soap base) and avoid soaps, antibacterial lotions, skin cleansing wipes, bubble bath lotions, deodorants, perfumes or any other lotion products that may cause skin irritation and dryness. These areas should also avoid the use of or contact with shampoos. If you need to shampoo with shampoos, you can apply a layer of oily emollient ointment to the perineum before shampooing, and then wash the perineum after the shampoo is finished. Avoid using rough bath towels or sponge bath scrubs to scrub or rub hard when washing the vulva. Dressing up also has something to do with it! Wear soft, loose white cotton underwear, avoid tight pants, jeans and tight pantyhose, and don’t tie tight belts. It is best to rinse your underwear several times to minimize the residue of washing powder and laundry detergent, and avoid using fabric softener or scented laundry detergent, because the fragrances added to them may cause skin irritation or irritation on your underwear.
Pay attention to hand hygiene and wash your hands before and after applying ointments and moisturizers. It is best to choose moisturizer in a tube or pressure pump package because products in wide mouth cans are easily contaminated with bacteria through the hands during repeated use, which can cause secondary bacterial infections in the area where the medication or moisturizer is applied. Or when using moisturizer in wide mouth jars, do not use your hands to take it directly, but just use a small clean spoon to take enough amount each time. Don’t wear makeup on your hands, especially since various nail products may cause contact allergies in the genital area of the vulva through hand scratching and drug application. Do not wear rings and other ornaments on your hands. Metal allergic people may have allergies through indirect contact with rings or other metal ornaments through their hands. Can I have sex? Of course you can, but be careful: do not apply hormone creams before sex to avoid contamination to your partner through skin contact. Semen has the potential to cause aggravation of eczema, and in very rare cases semen can induce a severe allergic reaction that requires prompt medical attention. Most condoms, diaphragms, and caps are made of latex or rubber and do not usually aggravate eczema; however, people who are allergic to latex or other rubber additives should choose contraceptive products made of other materials such as polyurethane or silicone. Spermicides can also irritate the skin, and if this is a concern, it is recommended that contraceptive products containing spermicides be avoided. Moisturizing emollients and topical hormonal creams can affect the integrity of condoms and diaphragms, so if you have been using moisturizing emollients or creams recently, be aware that they may cause contraceptive failure. To reduce friction, pain or dryness, lubricants can be used during sex. Water-soluble lubricants are the most commonly used, but they dry out easily during use and require multiple applications. Lubricants containing silicone usually have no more than four ingredients, do not contain water, are not absorbed by the skin and mucous membranes, and will last longer for lubrication.