Aetiology
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:
- 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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