Reoccurrences are common and can be treated the same as for initial infections. For chronic recurrences, many patients find the use of a single applicator of Monistat 7 at the onset of itching will abort the attack completely. Sexual partners need not be treated unless they are symptomatic. The vulva is more sensitive than other skin to irritants and the chronic exposure to a variety of irritating substances may lead to itching, rash, and a weepy, exzematoid lesion. Dyes from colored toilet paper, perfumes, deodorant-containing tampons, aromatic vaginal hygiene sprays, poison oak or ivy, semen, saliva, and bromine compounds in hot tubs and swimming pools have all been associated with this problem.
Topical steroids are also helpful.
It is caused by a fungal infection. Microscopic exam will reveal the typical threads of fungus. Treatment is Monistat, Lotrimin, Mycelex or Nizoral creams applied BID for 2-3 weeks. These tiny insects invade the pubic hair and cause intense, constant itching. Transmission can be through sexual contact, infected bedding, sharing towels, or close living quarters.