contactvaginal

Contact dermatitis of the vaginal area, often described as contact vaginal irritation, is an inflammatory skin reaction triggered by exposure to irritants or allergens. It most commonly affects the vulvar skin and surrounding folds rather than the internal vaginal mucosa, but symptoms can be felt in related areas.

Common triggers include fragranced soaps, bubble baths, wipes, intimate hygiene products, detergents, and fabrics. Latex condoms, lubricants with glycerin or fragrances, spermicides, and certain metals in jewelry or clasps can also cause allergic reactions. Reactions may result from repeated exposure and may occur days after contact.

Symptoms typically include itching, burning, redness, swelling, and stinging, especially with urination or sexual activity. Blisters or oozing plaques can occur in more severe cases. Because itching and discharge can resemble infections such as candidiasis or bacterial vaginosis, health care providers may perform tests to distinguish causes.

Diagnosis is based on history and examination; patch testing may identify specific allergens. Microscopic examination or cultures may be used to rule out infection.

Treatment focuses on removing the irritant or allergen and reducing inflammation. A clinician may prescribe a low-potency topical corticosteroid for a short course and recommend plain water cleansing. If a secondary infection exists, appropriate antifungal or antibiotic therapy is used. Avoid scratching and wearing breathable, non-irritating underwear.

Prevention involves using fragrance-free cleansers, avoiding known irritants, testing new products on a small area, and avoiding irritants such as scented wipes or powders. If latex allergy is suspected, consider latex-free condoms or alternatives.

When to seek care: symptoms persist beyond a few days despite avoidance, worsen, or are accompanied by fever, ulcers, or significant swelling; during pregnancy or if unsure of the cause.