Vaginal itching before periods, also known as premenstrual vaginal itching, is a common concern among many women.
It refers to the itching or discomfort in the vaginal area that occurs in the days leading up to menstruation.
Vaginal itching before periods is a symptom that many women experience in the days leading up to their menstrual cycle.
It is characterized by an uncomfortable itching or irritation in the vulvar or vaginal area, which may be accompanied by redness, swelling, and sometimes abnormal discharge.
This symptom can vary in severity and duration, and it may interfere with a woman’s daily activities and quality of life.
In this article, we will explore the definition, types, causes, symptoms, diagnosis, and management of vaginal itching before periods in detail.
Vaginal itching before periods Types:
Vaginal itching before periods can be classified into main types:
Hormonally-induced itching:
This type of itching is believed to be related to hormonal changes that occur during the menstrual cycle. Fluctuations in hormonal levels, specifically estrogen, and progesterone, can affect the vaginal environment and moisture balance, leading to vaginal itching before periods.
Exacerbation of pre-existing conditions:
Some women who already have certain underlying vaginal conditions, such as yeast infections, bacterial vaginosis, or other types of infections, may experience an exacerbation of symptoms, including vaginal itching, in the days leading up to their periods.
Fluctuations in hormonal levels during the menstrual cycle can affect the vaginal pH and moisture balance, leading to vaginal itching.
This type of itching is usually cyclic, occurring in the days or weeks leading up to menstruation, and may resolve on its own after menstruation begins.
Infections, such as yeast infections or bacterial vaginosis, can cause vaginal itching before periods.
These infections can disrupt the normal balance of vaginal flora, leading to an overgrowth of certain types of bacteria or fungi, which can trigger itching and other symptoms.
Some women may develop allergies or sensitivities to certain products, such as soaps, detergents, perfumes, or sanitary products, which can cause vaginal itching before their periods.
Irritation from friction or tight clothing can also contribute to itching
Vaginal itching before periods Causes –
There are several potential causes of vaginal itching before periods.
These can include hormonal changes, infections, allergies or irritants, poor hygiene, skin conditions, and psychological factors.
Hormonal changes:
Fluctuations in hormonal levels during the menstrual cycle, particularly changes in estrogen and progesterone levels, can affect the vaginal pH and moisture balance.
This can lead to changes in the vaginal environment, making it more susceptible to irritation and itching.
Infections:
Infections, such as yeast infections (caused by Candida fungi) or bacterial vaginosis (caused by an overgrowth of certain bacteria), can cause vaginal itching before periods.
These infections can disrupt the normal balance of vaginal flora, leading to inflammation and itching.
Allergies or irritants:
Some women may develop allergies or sensitivities to certain products that come into contacts with the vaginal area, such as soaps, detergents, perfumes, or sanitary products.
These allergens or irritants can trigger an allergic reaction or irritation, leading to vaginal itching.
Poor hygiene:
Poor hygiene practices, such as infrequent or improper cleaning of the vaginal area, can lead to the accumulation of sweat, bacteria, or other substances, which can cause irritation and itching.
Skin conditions:
Certain skin conditions, such as dermatitis, eczema, or psoriasis, can affect the vulvar skin and cause itching before periods. These conditions can disrupt the normal barrier function of the skin, making it more susceptible to irritation and itching.
Psychological factors:
Stress, anxiety, and other psychological factors can sometimes cause or exacerbate vaginal itching. Stress can affect the body’s immune system and hormonal balance, which can in turn impact the vaginal environment and trigger itching.
Vaginal itching before periods Symptoms:
Vaginal itching before periods can present with various symptoms, which may include:
- Itching or irritation in the vagina or vulva may be mild to severe.
- Redness, swelling, or rash in the vaginal area.
- Discharge from the vagina, which may be thick, white, yellow, or grayish.
- Foul odor from the vagina.
- Pain or discomfort during sexual intercourse.
- General discomfort and irritation in the vaginal area.
Risk Factors for Vaginal itching before periods :
There are several risk factors for developing vaginal itching, including:
Hormonal changes:
Fluctuations in hormonal levels during the menstrual cycle can disrupt the natural balance of the vaginal environment, leading to vaginal itching before periods.
Allergies or sensitivities:
Some women may have allergies or sensitivities to certain products like feminine hygiene products, or even condoms, that come into contact with the vaginal area. These products can potentially irritate the delicate vaginal skin, leading to itching.
Poor hygiene:
Inadequate or improper hygiene practices, such as not cleaning the vaginal area regularly or thoroughly, or using harsh soaps or douches, can disrupt the natural balance of the vaginal environment and increase the risk of vaginal itching.
Skin conditions:
Women with certain skin conditions, such as eczema, psoriasis, or lichen sclerosis, may be more prone to experiencing vaginal itching before their periods.
These skin conditions can affect the vulvar area and cause irritation, inflammation, and itching.
Diabetes:
Women with poorly controlled diabetes may be at higher risk of experiencing vaginal itching before their periods.
High blood sugar levels can promote the growth of yeast in the vaginal area, leading to yeast infections and itching.
Sexual activity:
Frequent or vigorous sexual activity, especially without proper lubrication, can cause friction and irritation to the vaginal area, leading to itching and discomfort.
Stress:
Chronic stress can weaken the immune system and disrupt the hormonal balance in the body, potentially leading to vaginal itching before periods.
Menstrual hygiene products:
Using tampons, pads, or menstrual cups that are not changed frequently enough, or using products that contain fragrances or other irritants, can potentially cause vaginal itching before periods.
Diagnosis for Vaginal itching before periods :
Diagnosing the cause of vaginal itching before periods typically involves a comprehensive evaluation by a healthcare provider. The following are common methods used in the diagnosis of this condition:
Medical history:
The healthcare provider will take a detailed medical history, including the woman’s menstrual cycle, sexual history, and any previous occurrences of vaginal itching or infections.
Physical examination:
A thorough physical examination of the vaginal area may be performed to assess for any signs of redness, swelling, rash, or discharge.
Laboratory tests:
Various laboratory tests may be ordered to identify the underlying cause of vaginal itching. These tests may include:
Vaginal swab:
A sample of vaginal discharge may be collected and examined under a microscope to identify the presence of yeast, bacteria, or other microorganisms.
pH testing:
Testing the pH level of the vaginal discharge can help determine if the vaginal environment is acidic or alkaline, which can provide insights into the underlying cause of the itching.
STI testing:
If sexually transmitted infections (STIs) are suspected, tests such as a culture or polymerase chain reaction (PCR) may be performed to detect the presence of specific STIs.
Allergy testing:
If an allergic reaction is suspected, allergy tests may be conducted to identify potential allergens, such as certain products or substances, that may be causing the itching.
Pelvic examination:
A pelvic examination may be performed to assess the overall health of the reproductive organs and rule out any structural abnormalities or signs of infection.
Imaging tests:
In some cases, imaging tests such as ultrasound may be ordered to visualize the pelvic organs and assess for any abnormalities.
Vaginal itching before periods Management:
The management of vaginal itching before periods depends on the underlying cause of the condition. Treatment options may include:
Hormonal therapy:
If hormonal fluctuations are identified as the cause of vaginal itching before periods, hormonal therapy may be recommended.
This may include hormonal contraceptives, such as birth control pills, patches, or intrauterine devices (IUDs), to regulate hormone levels and reduce symptoms.
Allergy management:
If an allergic reaction is suspected, identifying and avoiding potential allergens, such as certain products or substances, may be recommended.
Switching to hypoallergenic menstrual products, detergents, or soaps may also be helpful.
Infection treatment:
If an infection, such as a yeast infection or bacterial vaginosis, is identified, appropriate antifungal or antibacterial medications may be prescribed to clear the infection and relieve symptoms.
Hygiene practices:
Proper hygiene practices, such as regular washing of the genital area with mild, fragrance-free soap and water, avoiding douching, and wearing breathable cotton underwear, can help maintain vaginal health and reduce itching.
Lifestyle changes:
Making certain lifestyle changes, such as managing stress, maintaining a healthy diet, staying hydrated, and getting enough sleep, can help regulate hormonal balance in the body and reduce vaginal itching before periods.
Symptomatic relief:
Over-the-counter (OTC) creams or ointments containing hydrocortisone or other soothing agents may be recommended to provide temporary relief from itching and discomfort.
However, it is important to consult a healthcare provider before using any OTC products, as they may interact with other medications or have potential side effects.
Avoiding irritants:
Avoiding potential irritants, such as perfumes, powders, and harsh soaps, in the genital area can help prevent further irritation and itching.
Sexual health:
Maintaining good sexual health practices, such as using condoms during sexual intercourse, practicing safe sex, and getting regular check-ups for sexually transmitted infections.
Best Homeopathic Medicines for Vaginal itching before periods:
Some important remedies vaginal itching are as follows –
Apis mellifica
Cimicifuga racemosa
Graphtes
Hamamelis virginica
Kreosotum
Lachesis muta
Lilium tigrinum
Mercurius solubilis
Natrum muraticum
Nitricum acidum
Nux vomica
Platinum metallicum
Pulsatilla nigricans
Sepia
Silicea
1. Apis mellifica – intense burning with itching.
Vaginal itching with stinging or burning sensations, along with swelling, redness, and soreness.
Symptoms may be aggravated by heat and relieved by cold applications. There may also be swelling of the external genitalia.
Thirstlessness with fever and infection.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
2. Belladonna -sudden onset of symptoms.
Vaginal itching with intense redness, heat, and throbbing sensations.
The itching may be worse at night and may be associated with dryness or scanty menses.
Symptoms may be aggravated by touch or jarring movements.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
3. Bryonia -itching aggravated from motion.
Vaginal itching with dryness and stitching pains.
The itching may be worse before menses, and there may be increased thirst and irritability.
Symptoms may be aggravated by movement and relieved by rest.
Dose and potency:30 CH potency 4 pellets, 3 times a day.
4. Cantharis -violent itching with burning.
Vaginal itching with burning and cutting pains, and a constant urge to urinate.
The itching may be worse during or after urination, and there may be a history of urinary tract infections.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
5. Cimicifuga racemosa -shooting pain with itching.
Vaginal itching with shooting or cramping pains in the pelvis, and a feeling of pressure or fullness.
The itching may be worse before menses, and there may be a history of hormonal imbalances
Dose and potency:30 CH potency 4 pellets, 3 times a day.
6. Graphites -honey-like discharge with itching.
Vaginal itching with thick, sticky, or honey-like discharge, and a sensation of redness or soreness.
The itching may be worse at night and may be associated with constipation and skin eruptions.
Dose and potency:30 CH potency 4 pellets, 3 times a day.
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7. Hamamelis virginica -itching accompanied by bleeding.
Vaginal itching with a sensation of fullness and heaviness in the pelvis, and a tendency to bleed easily.
The itching may be worse before menses, and there may be a history of varicose veins or hemorrhoids.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
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8. Kreosotum -acrid discharges with violent itching.
Vaginal itching with a profuse, acrid, and offensive-smelling discharge. The itching may be worse at night, and there may be a history of chronic or recurrent vaginal infections.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
9. Lachesis: Indicated for symptoms before menses.
Vaginal itching with a sensation of constriction or tightness in the pelvic region.
The itching may be worse before menses, and there may be a history of hot flashes, palpitations, or mood swings.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
10. Lilium tigrinum – intense sexual desire with vaginal itching.
Vaginal itching with a sensation of heaviness or dragging in the pelvis, and a tendency to feel rushed or hurried.
The itching may be worse before menses, and there may be a history of menstrual irregularities or emotional instability.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
11. Mercurius solubilis -itching worse at night.
Vaginal itching with profuse, offensive-smelling discharge, and a sensation of heat or burning in the genital area.
The itching may be worse at night, and there may be a history of recurrent vaginal infections
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
12. Natrum muraticum -dryness of vagina with itching
Vaginal itching with watery or clear discharge, and a sensation of dryness or rawness.
The itching may be worse before menses, and there may be a history of emotional sensitivity, especially to grief or loss.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
13. Nitricum acidum – affections of the mucocutaneous junction
Vaginal itching with smarting or burning pains, and a tendency to develop cracks or fissures.
The itching may be worse before menses, and there may be a history of digestive disturbances or skin issues.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
14. Nux vomica – gastric complaints with vaginal itching.
Vaginal itching with a sensation of fullness or bloating in the abdomen, and a tendency to feel irritable or impatient.
The itching may be worse before menses, and there may be a history of digestive disorders or lifestyle factors such as overeating, excessive coffee or alcohol consumption, and lack of sleep.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
15. Platinum metallicum – intense sexual desire with voluptuous itching
Vaginal itching with a sensation of dryness or heat in the genital area, and a tendency to feel superior or condescending. The itching may be worse before menses, and there may be a history of hormonal imbalances or emotional issues such as depression or anxiety.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
16. Pulsatilla nigricans – itching worse in the warm room
Vaginal itching with thick, yellowish, or greenish discharge, and a tendency to feel weepy, emotional, or changeable.
The itching may be worse in warm rooms and may be associated with a history of hormonal imbalances or irregular menses.
Dose and potency: 30 CH potency -4 pellets, 3 times a day.
17. Sepia: bearing down sensation with itching of the vagina.
Vaginal itching with a sensation of bearing down or pressure in the pelvis, and a tendency to feel indifferent, irritable, or overwhelmed.
The itching may be worse before menses, and there may be a history of hormonal imbalances, menstrual irregularities, or uterine prolapse.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
18. Silicea: sensitive to cold air.
Vaginal itching with a sensation of burning, stinging, and sensitivity to cold.
The itching may be worse at night, and there may be a history of recurrent infections or abscesses.
Dose and potency: 30 CH potency 4 pellets, 3 times a day.
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