Doctors Lounge - Gynecology Answers
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Forum Name: Gynecology
Question: Intense itch with urge to urinate
|jaded - Mon Oct 03, 2005 2:43 pm||
I have no idea where else to put this question. I only have two symptoms-an itching sensation near my urethra ( I think) sometimes also radiating back toward my anus, and feeling the urge to urinate more frequently than normal with little or no result. I have no fever, no pain (aside from the intensity of the itching which is driving me nuts) A friend suggested that I might have Chlamydia but I didn't really think the itching really matched up with the symptoms of that disease. I am hoping someone will see this and tell me it is a UTI and to drink some cranberry juice. Also, in case it matters, the symtoms never occur in the night when I am sleeping, and sometimes I can go for hours without them or even a day then it will return. Does caffiene affect it perhaps? Thanks in advance.
|Dr. Tamer Fouad - Tue Jan 10, 2006 7:11 am||
Vulvovaginal itching generally is not a normal finding in healthy women. Itching is usually most noticeable with a yeast infection, though it may occur with any type of infection or irritation. An irritated vaginal lining, which may be particularly itchy or painful during intercourse, is usually a more prominent symptom of atrophic vaginitis (such as occurs in postmenopausal women). Pain and itching when urinating may occur in trichomoniasis. Other dermatologic conditions (eg, lichen sclerosis and, rarely, vulvar cancer) should also be considered, especially in the absence of candidal infection.
Usually a gynecologist will be able to tell by clinical examination and colposcopy what the problem is. If there is evidence of vaginal irritation this may be a manifestation of contact or allergic vaginitis. If on examination there is an a focal area of abnormal tisse a biopsy may be required.
1. Haefner HK. Current evaluation and management of vulvovaginitis. Clin Obstet Gynecol 1999;42:184-95.
2. Reilly BM. Practical strategies in outpatient medicine. 2d ed. Philadelphia: Saunders, 1991:1016-46.
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