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Aetiology

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Causes to consider include:

  • infection
    • vulvovaginal candidiasis
    • dermaphytosis
    • parasites
      • scabies (especially Sarcoptes scabiei hominis)
      • phthirus pubis
      • anal helminth infections (Oxyuris vermicularissyn.Enterobius vermicularis
    • predisposition for mycoses due to diabetes mellitus (also increased risk associated with use of SGLT2 inhibitors), liver diseases, immunosuppression
  • other causes
    • regrowth of pubic hair after shaving
    • psychogenic causes and sexual disorders
    • malignancies
  • non-infectious or inflammatory disease of the vulvar
    • lichen sclerosus
    • mucosal lichen planus
    • lichen simplex chronicus
    • contact dermatitis
    • psoriasis

Reference:

  1. Rimoin LP, Kwatra SG, Yosipovitch G. Female-specific pruritus from childhood to postmenopause: clinical features, hormonal factors, and treatment considerations. Dermatol Ther. 2013 Mar-Apr;26(2):157-67.

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