Vulvitis

What is vulvitis?

Vulvitis is when the outer part of the vagina (the vulva) is irritated and inflamed. The vulva usually itches, burns, or is sore. This problem almost always occurs before puberty.

What is the cause?

Most vaginal itching or discomfort is due to a soap irritation of the vulva. The usual irritants are bubble bath, shampoo, or soap left on the genital area. Occasionally, it is due to poor hygiene. Before puberty, the lining of the vulva is very thin and sensitive. If the vagina becomes infected, there will be a vaginal discharge.

How long does it last?

The discomfort goes away after 1 to 2 days of proper treatment.

How can I take care of my child?

• Baking soda, warm water soaks

  Have your daughter soak her bottom in a basin or bathtub of warm water for 20 minutes. Add 4 tablespoons of baking soda per tub of warm water. (Note: Baking soda is better than vinegar soaks for the younger age group). Be sure she spreads her legs and allows the water to cleanse the genital area. No soap should be used. Repeat this every 4 hours while your daughter is awake for the next 2 days. This will remove any soap, concentrated urine, or other irritants from the genital area and promote healing. After the symptoms go away, cleanse the genital area once a day with warm water.

• Hydrocortisone cream

  Apply 1% hydrocortisone cream (a nonprescription item) to the genital area after the soaks.

• Prevention of recurrences
  • Don't use bubble bath before puberty because it is very irritating. Don't put any other soaps or shampoo into the bath water. Don't let a bar of soap float around in the bathtub. Wash the genital area with plain water, not soap. If necessary, use baby oil to remove secretions from between the labia that don't come off with water. If you are going to shampoo your child's hair, do this at the end of the bath.
  • Keep the bath time less than 15 minutes. Have your child urinate immediately after baths.
  • Wear cotton underpants. Underpants made of synthetic fibers (polyester or nylon) don't allow the skin to "breathe." Discourage wearing underpants during the night so the genital area has a chance to "air out."
  • Teach your daughter to wipe herself correctly from front to back, especially after a bowel movement.
  • Encourage her to drink enough fluids each day to keep the urine light-colored. Concentrated urine can be an irritant.

When should I call my child's health care provider?

Call during office hours if:

• The itching is not gone after 48 hours of treatment.
• A vaginal discharge or bleeding occurs.
• Passing urine becomes painful.
• You have other concerns or questions.