WOMENS-HEALTH Messages for January, 1998: Re: pubic and anal itching

Re: pubic and anal itching

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Sun, 4 Jan 1998 17:29:12 -0600 (CST)

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At Sat, 3 Jan 1998, Nash wrote: >
>Please help us...we are looking for information with regards to pubic
>and anal itching (and any possible links to the fact that a Norplant
>device is in use..

Nash-

Sincerely doubt it's related at all to Norplant. When I see patients with this complaint, the first step, as you wrote, is to rule out common infections like yeast, trichomonas, and bacterial vaginosis. This is usually pretty easy to do via a pelvic exam and looking under a microscope.

Other less common causes include squamous hyperplasia and lichen sclerosus, skin disorders of the vulva that cause itching and burning. I usually perform a painless colposcopy (looking at the vulva and anus with a magnifying lens and a dilute vinegar solution), and, in most cases, squirt a little novovaine and take a very small biopsy. Treatment consists of topical steroid solutions (prescription strength).

Less likely causes include pinworms, which migrate from the anus at night and can cause intense itching. These are also easy to treat.

Finally, contact dermatitis (to perfumes, soaps, etc.), psoriasis, severe diabetes or liver or renal disease, and a host of other uncommon ailments can cause vulvar itching. A very thorough exam, usually performed 2 or 3 times over a few months, and a colposcopy/biopsy, will diagnose the problem.

Good luck!

-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, FL http://www.gate.net/~dahmd

I apologize, but I am unable to answer personal e-mail due to time constraints.

Next message: Lori: "Re: JOINT STIFFNESS after STILLBIRTH"
Previous message: D. Ashley Hill, M.D.: "Re: Spotting after Depo Provera"
In reply to: Nash: "pubic and anal itching"
Next in thread: Mrs: "Re: pubic and anal itching"
Reply: Mrs: "Re: pubic and anal itching"

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