Those infections which may be spread by intimate or sexual contact may be prevented or minimized by practicing abstinence, or monogamy and safer sexual behaviors . If there is any vaginal discharge , a wet prep inspection may reveal vaginal infection as the source. Self-care options may be initiated if no vaginal discharge is present. 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. 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 .