[38F] Experiencing vaginal irritation post-menstruation

Patient Description

A 38-year-old female reports agitation and soreness in the vaginal area, described as feeling like a brush burn without actual burning, following the use of sanitary pads during her menstrual cycle. The symptoms, which include swelling and redness at the site of the pad, began during menstruation and have persisted, though they are now starting to improve five days post-period. The patient has a medical history of type 2 diabetes and high blood pressure, controlled with medications including Amitriptyline, Vitamin D2, Metformin, Methylphenidate, Famotidine, Hydrochlorothiazide, Nifedipine, and prenatal gummies. She also had a tubal ligation reversal in August. The patient has allergies to the penicillin family and iodine. No discharge, unusual smell, or itching was reported. No other symptoms are present.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you're experiencing a reaction to the pads you've been using during your menstrual cycle. This could be due to:

  • Irritant Contact Dermatitis: This is a skin reaction caused by irritation from substances such as the material or chemicals in the pads. The symptoms can include redness, swelling, and a feeling of soreness or discomfort, similar to what you've described.

    • Treatment typically involves avoiding the irritant and using creams or ointments to soothe the skin.
  • Allergic Contact Dermatitis: This is an allergic reaction to a substance in the pads. However, this usually also involves itching, which you've not reported.

    • Treatment is similar to irritant contact dermatitis and may also involve antihistamines.

Please note that these are possible explanations based on the information you've provided and that you should consult a healthcare professional for a formal diagnosis.

What you can do

Here are some steps you can take to help alleviate your symptoms:

  1. Avoid using the pads that have been causing irritation. You could try using a different brand or type of pad, or consider alternatives such as tampons, menstrual cups, or period underwear.
  2. Apply a mild, fragrance-free moisturizer or an over-the-counter 1% hydrocortisone cream to the irritated area to help soothe the skin.
  3. Keep the area clean and dry. Avoid using scented soaps or body washes as these can further irritate the skin.
  4. Wear loose, breathable underwear to allow air to circulate and help the skin heal.

What you should look out for

You should seek medical attention if:

  • Your symptoms don't improve after a few days of self-care measures.
  • Your symptoms worsen or spread to other areas.
  • You develop other symptoms such as severe pain, itching, or discharge.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common causes of irritation in the vaginal area during menstruation?

Common causes of irritation in the vaginal area during menstruation include friction from sanitary pads, sensitivity to materials or chemicals in the pads, and lack of airflow. It's important to identify the specific cause to address it effectively.


How can I differentiate between irritant contact dermatitis and allergic contact dermatitis?

Irritant contact dermatitis is usually caused by direct irritation from a substance, leading to redness, swelling, and soreness. Allergic contact dermatitis involves an immune response and often includes itching. Both conditions can be managed by avoiding the irritant and using soothing treatments.


What are some alternative menstrual products that might reduce irritation?

Alternatives to traditional sanitary pads include tampons, menstrual cups, and period underwear. These options can reduce irritation by minimizing contact with potentially irritating materials and allowing better airflow.


When should I seek medical attention for vaginal irritation?

You should seek medical attention if your symptoms do not improve with self-care, worsen, spread, or if you develop additional symptoms like severe pain, itching, or discharge. A healthcare provider can offer a proper diagnosis and treatment plan.


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