Vulvitis can occur in women of all ages. In prepubescent and postmenopausal women, the condition may be caused by low estrogen levels. If there is any vaginal discharge , a wet prep inspection may reveal vaginal infection as the source. If these measures do not alleviate symptoms, a primary health care provider should be seen. If discharge from a vaginal infection is the cause of vulvitis, the source of the vaginal infection should be treated and concurrent topical cortisone cream may be used to decrease vulvar itching .
Many organisms can harbor themselves without producing symptoms.
If treatment of vulvitis is not very effective, further evaluation may include biopsy of the skin to rule out the potential of vulvar dystrophy, a precancerous condition. Infection, when not treated, may eventually lead to more extensive problems, possibly causing reduced reproductive ability, total sterility, or problems with general health. Calling Your Health Care Provider Call for an appointment with your health care provider if symptoms occur and do not respond to self care measures, or if vaginal discharge accompanies the symptoms. Also call if skin lesions are noted on the vulva . Also avoid using feminine hygiene sprays, fragrances, or powders in the genital area.