How to deal with painful or itchy vulva?

(HTML content revised 05/2025)

Genital skin is very sensitive and it is important to prevent it from getting irritated by chemicals or physical means. Consult a doctor as soon as possible if you feel itchy or burning pain over the vulval area. Do not use over-the-counter medications without seeing a doctor.

Vaginal Discharge

Almost all women have more vaginal discharge in pregnancy. It should be clear and white and should not smell unpleasant.

You should consult a doctor if you have the followings. You might have a vaginal infection.

  • The discharge is coloured or with blood
  • The discharge smells strange
  • You feel itchy or sore

Hygiene

  • Do not wash genitals excessively. Treat the skin of the genital areas very gently.
  • Do not use douches.
  • Do not use bubblebath or any perfumed creams, soaps or feminine hygiene products.
  • Avoid getting shampoo on the vulval area.
  • Clean your vulval area from front to back. This may help to prevent bacteria that normally live in your rectum from getting into your vagina.
  • Use soft, white, unscented toilet paper.
  • Use 100% cotton underpants.

Clothing and Laundry

  • Wear cotton underwear and loose fitting pants or skirts.
  • Do not wear pantyhose (wear thigh or knee high stockings instead).
  • Ensure the underwear and any clothing that come into contact with vulva is rinsed well.
  • Do not use fabric softener on undergarments because the chemicals will stay in the fabric, causing irritation to the vulval skin.

Sexual Intercourse

  • When the vulva is itchy, do not use lubricants or petroleum jelly.
  • Avoid intercourse when there is pain in the genitals.
  • Gently apply ice or frozen gel pack wrapped in a towel onto the vulval skin to relieve burning sensation, if any, after intercourse.
  • Urinate to prevent infection after intercourse.

Physical Activities

  • Avoid the use of hot tubs.
  • Remove wet bathing suits and sports clothes promptly.