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What Causes Itchy And Sore Vulva And Labia In Women With Urethral Caruncle?
Question: I have a urethral caruncle and for the last 3 weeks every weekend I've been very itchy and sore around the vulva and labia. I've been usingOvestine cream for a few months now for my caruncle. I've been checked for thrush and that isn't present. The doctor now thinks I'm just very dry. I've been using a prescribed soap substitute for a couple of weeks now, but the itch started again last Saturday so I saw my doctor again on Monday XXXXXXX she prescribed Cetroban. I've been using this As well since then. However since using that it has hurt whenever I urinate. Today I decided to try just usingt he soap substitute,which is also a moisturiser and that helped with the pain, but it's 3am and I've now woken up itching again! I'm at my wits end. The itching is so bad I can't stand or sit without wanting to scratch!
Brief Answer:
Urethrhral caruncle and vaginal dryness
Detailed Answer:
Hello,
Thanks for the query to HCM,
Urethral caruncles are benign, distal urethral lesions that are most commonly found in postmenopausal women. Most urethral caruncles can be treated conservatively with warm sitz baths and vaginal estrogen replacement. Surgical intervention may be indicated for patients with larger symptomatic lesions and for those with uncertain diagnoses. Induration, failure to respond to conservative therapy, atypical appearance, or growth over time may be indications for excisional biopsy. However in your case your symptoms are primarily itching and yeast has been ruled out. So likely cause remains dryness and often use of tight undergarments which can cause frictional injury locally and often accompanied by itching during the healing process.
Please avoid using any soap locally but rather you may just use plain water and sitz baths to help. Also you may use oestrogen cream like Estradiol 1% or Evalon cream for local application over the caruncle and locally twice a day, this should help you re-epithelializeand hence reduce itching. You may discuss the option with your primary health consultant and take an informed decision. Also important is to wear loose, cotton undergarments to avoid moisture induced or friction induced lesions.
Regards
Urethrhral caruncle and vaginal dryness
Detailed Answer:
Hello,
Thanks for the query to HCM,
Urethral caruncles are benign, distal urethral lesions that are most commonly found in postmenopausal women. Most urethral caruncles can be treated conservatively with warm sitz baths and vaginal estrogen replacement. Surgical intervention may be indicated for patients with larger symptomatic lesions and for those with uncertain diagnoses. Induration, failure to respond to conservative therapy, atypical appearance, or growth over time may be indications for excisional biopsy. However in your case your symptoms are primarily itching and yeast has been ruled out. So likely cause remains dryness and often use of tight undergarments which can cause frictional injury locally and often accompanied by itching during the healing process.
Please avoid using any soap locally but rather you may just use plain water and sitz baths to help. Also you may use oestrogen cream like Estradiol 1% or Evalon cream for local application over the caruncle and locally twice a day, this should help you re-epithelializeand hence reduce itching. You may discuss the option with your primary health consultant and take an informed decision. Also important is to wear loose, cotton undergarments to avoid moisture induced or friction induced lesions.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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