[18F] With recurrent vulvar dermatitis flare-ups

What might be happening

Based on the information you've provided, it seems like you are experiencing a flare-up of vulvar dermatitis. This condition is characterized by inflammation of the skin in the vulvar area, which can cause symptoms like itching, burning, and discomfort. The fact that it worsens after activities that involve friction, such as masturbation with clothes on or sexual intercourse, suggests that irritation is a significant factor in your flare-ups. The burning sensation when urine touches the area is also a common symptom due to the skin's sensitivity.

Typical Treatments and Testing

• Topical Steroids: You are already using hydrocortisone cream, which is a common treatment to reduce inflammation and soothe the skin.
• Avoiding Irritants: Identifying and avoiding potential irritants, such as certain fabrics or personal care products, can help prevent flare-ups.
• Moisturizers: Using gentle, fragrance-free moisturizers can help maintain skin hydration and reduce irritation.
• Medical Consultation: If symptoms persist or worsen, a healthcare provider may recommend further evaluation or alternative treatments.

What you can do

1. Continue Using Hydrocortisone Cream: Apply the cream as directed to help manage inflammation and discomfort.
2. Avoid Irritation: Try to minimize activities that cause friction in the area. Consider using a barrier cream or lubricant if you engage in activities that might irritate the skin.
3. Wear Breathable Fabrics: Opt for loose-fitting, cotton underwear to allow the area to breathe and reduce moisture buildup.
4. Maintain Hygiene: Gently clean the area with mild, fragrance-free soap and water. Pat dry instead of rubbing to avoid further irritation.
5. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and identify any potential triggers. This information can be valuable for your healthcare provider.

What you should look out for

• Persistent or Worsening Symptoms: If your symptoms do not improve with self-care measures or if they worsen, it is important to consult a healthcare provider for further evaluation.
• Signs of Infection: Look out for increased redness, swelling, or discharge, which could indicate an infection requiring medical attention.
• Emotional Well-being: It's understandable to feel scared or insecure about this condition. Consider reaching out to a healthcare provider or counselor for support if these feelings persist.

Remember, while this advice can help manage your symptoms, it's important to seek care from a healthcare professional for a formal diagnosis and treatment plan.