Vaginal Burning and Itching

Vaginal burning and itching are common concerns that many women experience at some point in their lives. While occasional itching may not be cause for alarm, persistent or severe symptoms can indicate an underlying condition that requires medical attention.

In this article, we’ll review the most common causes of vaginal burning and itching, practical steps you can take to find relief, and when it’s time to see a gynecologist. We’ll also discuss treatment options available at Maiden Lane Medical, a trusted gynecology and women’s health practice in New York City with a convenient walk-in gynecology clinic located in Murray Hill. If you’re experiencing persistent vaginal discomfort, schedule an appointment today with Maiden Lane Medical to receive expert care and lasting relief.

What Causes Vaginal Itching?

Vaginal itching, medically referred to as pruritus, can have many different causes. Understanding the root problem is the first step toward effective treatment.

1. Vaginal Yeast Infections

One of the most frequent causes of vaginal itching is a vaginal yeast infection. This occurs when the naturally occurring fungus Candida albicans overgrows in the vaginal area. Yeast thrives in warm, moist environments, and factors such as antibiotics, hormonal changes, or a weakened immune system can disrupt the natural balance. Symptoms include:

Intense vaginal itchiness
Thick, white “cottage cheese” discharge
Redness and swelling of the vulva and/or vaginal wall
Pain during sex or urination

2. Bacterial Vaginosis (BV)

Another common cause is bacterial vaginosis, a condition that develops when the natural balance of bacteria in the vagina shifts. Women developing bacterial vaginosis often notice:

Thin, gray, or white vaginal discharge
A strong, fishy odor
Vaginal irritation or burning (less commonly, itching)

3. Sexually Transmitted Infections (STIs)

Several sexually transmitted infections can cause genital itching and vaginal discomfort. Examples include:

Genital herpes, which may cause painful sores, burning, and itching
Genital warts, caused by HPV, which can result in bumps and irritation in the genital area
Trichomoniasis, which may lead to itching, frothy discharge, and vaginal irritation

4. Vaginal Dryness and Atrophy

In women going through menopause or those with low estrogen levels, vaginal dryness and vaginal atrophy may occur. When the vaginal wall becomes thin and dry, it can lead to:

Persistent vaginal itching
Burning sensations
Pain during sex
Vaginal bleeding after intercourse

5. Skin Conditions and Allergic Reactions

Certain dermatological conditions and chemical irritants can affect the vulva and vaginal skin, leading to irritation:

Eczema or psoriasis on the genital area
Allergic reactions to scented tampons, pads, bubble baths, or harsh laundry detergents
Skin irritation from shaving pubic hair

6. Other Causes

Bacterial infections unrelated to BV
Sexually transmitted disease exposure
Hormonal fluctuations during pregnancy or postpartum
Underlying health issues such as diabetes, which can increase risk of infections

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How Do I Stop Vaginal Itching?

Relief depends on addressing the underlying cause. Some at-home remedies and over-the-counter treatments may help in the short term, but medical care is often needed for lasting results.

Over-the-Counter Treatments

Antifungal creams or suppositories (e.g., Monistat) may relieve mild yeast infections.
Vaginal moisturizers designed for the vaginal wall can improve dryness.
Hydrocortisone creams (for external genital itching) may reduce irritation, but these should never be applied inside the vagina without medical guidance.

Home Remedies

Sitz baths or Epsom salt baths can reduce itching and soothe skin irritation.
Cold compresses applied to the genital area can temporarily relieve burning.
Boric acid suppositories, available over the counter, may help restore vaginal pH balance and control recurrent yeast infections.

Lifestyle Adjustments

Avoid scented tampons, bubble baths, and harsh soaps that can act as chemical irritants.
Wear cotton underwear and loose-fitting clothing to keep the genital area dry and well-ventilated.
Practice good hygiene but avoid overwashing, as this may strip natural protective oils.

Medical Treatments

If you’re dealing with persistent vaginal infections, your doctor may recommend:

Prescription antifungal medications for severe or recurrent yeast infections
Antibiotics for bacterial vaginosis or bacterial infections
Antiviral medications for genital herpes
Hormone therapy for vaginal dryness and atrophy

When Should I See a Doctor for Vaginal Itching?

While mild vaginal irritation sometimes improves on its own, certain symptoms require medical attention. You should see a gynecologist if:

Itching persists for more than a few days despite home care
You notice unusual vaginal discharge (foul odor, unusual color, or clumpy texture)
You experience pain during sex or urination
There is abdominal pain associated with vaginal discomfort
You have sores, bumps, or blisters in the genital area
You notice vaginal bleeding outside of your normal menstrual cycle
You suspect a sexually transmitted infection

Walk-In Gynecology Services in Murray Hill, NY

At our Murray Hill walk-in Gynecology clinic, women can access same-day care for urgent concerns such as vaginal infections, vaginal itching, vaginal burning, vaginal yeast infections, pain during sex, and abnormal discharge. Our expert gynecologists provide accurate diagnosis and personalized treatment in a comfortable and confidential setting.

Whether you’re dealing with a yeast infection, bacterial vaginosis, vaginal irritation, or a possible sexually transmitted infection, our team is here to help you find relief quickly.

Taking Control of Your Vaginal Health

Vaginal burning and itching can be frustrating, but they are often manageable once the cause is identified. From vaginal yeast infections and bacterial vaginosis to allergic reactions and sexually transmitted infections, the reasons for genital itching vary widely. While some home remedies and over-the-counter options may provide temporary relief, ongoing or severe symptoms should always be evaluated by a healthcare professional.

At Maiden Lane Medical, we provide comprehensive gynecology and women’s health services in New York City, including same-day care at our Murray Hill walk-in gynecology clinic. If you’re experiencing vaginal itchiness, burning, or discomfort, don’t wait—our experienced team is here to help you restore your comfort and confidence. Schedule an appointment today!

Medically Reviewed By

Emma Izzo, PA-C

Certified Physician’s Assistant, Women’s Health

Women's Health Specialists

Gillian Scott Hans, NP, CNM

Savita Sukha, WHNP

Jill-Ann Swenson, MD, FACOG

Rachel Villanueva, MD

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