Vulvar Itching Worse at Night Causes, No Discharge, Pregnant and Treatment

Having vulvar itching worse at night is a common problem among many women regardless of age.

In most cases, vaginal itching at night is not caused by a serious condition.

Get more insight into the causes, home remedies, treatments and vulvar itching creams in the article.

Vulvar Itching Worse at Night Causes

They include:

Bacterial Vaginosis

This is a bacterial infection that occurs due to the imbalance level of pH. The infection is marked by itching vaginal lips mostly at night due to sweating.

The itching sensation at night happens since the vaginal discharge due to the infection does not flow out while lying on the bed.

Other symptoms associated with this bacterial infection are yellow or gray discharge, foul smell, and irritation as well as burning effect after having sex. Consult your doctor for examination and treatment.

Allergic Reaction

You are likely to experience vulvar itching worse at night due to use of scented feminine products that trigger an allergic reaction.

Some of the common allergens include scented soaps, perfumes or deodorants, wet wipes, detergents, textile dyes, fabric conditioners, condoms, sanitary pads or tampons.

Some of the other symptoms shown by the allergic reaction around the vagina are burning sensation, irritation, red rashes and pain when having sex.

It is advisable to stop using scented feminine products in order to combat allergic reaction.

Blocked Bartholin Gland

These are glands that are found inside the vagina. The play a very vital role in the body of a woman since they produce lubricants and other fluids that make the vagina to remain moist throughout.

The blockage of the glands due to the development of a cyst results in itching sensation especially at night where it is worse. You may experience intense itching after having sexual intercourse.

Other symptoms associated with the blockage of Bartholin glands include swelling, redness, pain when having sex, and a bump or lump on the vulvar.

Use of painkillers may help to relieve the pain and in a serious condition visit your doctor for a prescription of antibiotics.

Hormonal Changes

Menopause and pregnancy are marked by numerous hormonal changes. The vulvar become thinner and drier due to the low level of estrogen that is common during and after menopause. The vaginal dryness effect causes itching.

It is recommended to visit your doctor for the administration of local estrogen at the onset of menopause in order to counter the itching sensation that grows worse at night.

You can also consider hormonal therapy depending on the advice of your doctor.

Lichen Sclerosus

This is among the conditions that trigger vulvar itching worse at night. It occurs due to irregular skin formation at the entrance of the vagina or the vulva.

The condition can even spread near the anus. The skin usually appears as a bruise with white patches.

Sweat may also make the skin irritation to become even worse. Other symptoms that come alongside itching include vaginal soreness, white patches, and pain when having sex. However, the use of steroid creams may help to ease the symptoms.

Vaginal Yeast Infection

The medical term for the infection is vaginal thrush. It is a type of fungal infection caused by Candida albicans.

The environment around the vagina is moist and warm making it favorable for these fungi to thrive well.

The overgrowth of these fungi happens due to declining in the level of good bacteria.

You may also experience other symptoms such as burning sensation when peeing, redness of the vulva and inside the vagina, the presence of cottage cheese like discharge and a yeast-like smell. The warmth at night usually results in intense itching sensation.

Sexually Transmitted Infections

There are several types of STDs that can result in extreme itching inside and around the vagina.

Some of the common types of STDs that causes itching in the vagina is trichomoniasis, genital herpes, human papillomavirus, chlamydia, syphilis, gonorrhea, and genital warts.

These infections are contracted by people who usually have unprotected sex with infected partners.

The infection is also associated with other symptoms like yellow or green discharge, foul smell, redness, swollen vulva, pain when urinating, and pain during and after sex.

We recommend you visit your doctor immediately you suspect you have STIs for early treatment since some STIs can result in other complications that can be fatal to your reproductive system.

Emotional Stress

Emotional stress is also a reason behind having itchy vulvar or vaginal lips. This is because stress leads to the production of histamine that causes itching all over the body.

Stress mostly emanate from family issues, pressure from work, bad relationships among other life challenges.

Extreme cases of stress can also cause headaches, low energy, and loss of sexual desire, insomnia, upset stomach, and chest pain.

Frequent yoga and meditation may help to prevent the accumulation of stress in the body.

Skin Conditions

There are several skin conditions or problems that are marked by intense itching all over the body including the vagina.

Most of these skin problems include atopic eczema, psoriasis, boils and cellulitis among others.

Taking painkillers and application of good moisturizer may help to relieve the symptoms but in the case of autoimmune conditions, there is no exact cure. Always visit your doctor for checkup and treatment.

Ingrown Hair Bumps

Razor bumps around the vagina can erupt due to poor shaving technique.

This happens due to the development of ingrown pubic hairs. These razor bumps are usually itchy and in case they are infected, it causes pain, swelling, and redness.

It is recommended to stop shaving for a while until all the pubic hairs grow out and adopt proper pubic hair removal technique.

Vulvar Cancer

This is a rare type of cancer but in case it happens, it results in itchy vulvar that become worse at night.

The itching occurs due to the formation of small hard bumps or lumps around the vagina.

Other symptoms linked to vulvar cancer include pain and tenderness, bleeding, change in skin color, and a lump on the vulvar.

You can visit your doctor for surgical removal of the affected cells through radiotherapy, and chemotherapy. You may also be advised to reduce the number of sexual partners.

Vulvar Itching No Discharge

According to doctors on mayo clinic, vulvar itching that is caused by certain types of infections usually results in an abnormal discharge that has a foul smell.

However, there are other causes that may not result in any form of secretions or odor.

Vaginal itching that is not accompanied by any form of discharge is mainly caused by allergic reaction to soap, perfumes, condoms, wet wipes, detergents, excessive sweat, deodorants, certain creams, and fabric conditioners among others.

Other causes of vulvar itching with no discharge include eczema, psoriasis and parasitic infections like scabies, lice, and trichomoniasis.

Vulvar Itching Worse at Night Pregnant

According to Jennifer Keller, MD, assistant professor in the Department of Obstetrics and Gynecology at The George Washington University School of Medicine and Health Science, pregnancy increase production of certain discharge that causes skin irritation around the vagina.

Pregnant women are prone to vaginal yeast infection, bacterial vaginosis, genital herpes, trichomoniasis or HPV.

These factors can result in vaginal itching and swelling. Why is my yeast infection worse at night? Well, this is due to the warmth and dampness as a result of sweating.

It is recommended to treat the infections promptly since the infection can spread and affect the baby in the womb.

Therefore, you are requested to visit your doctor in case of vaginal itching and swelling that doesn’t go away.

Vulvar Itching Worse at Night Home Remedies

Some of the commonly used vulvar itching natural remedies include:

Cold compress

It gives an instant relief from itching and swelling around the vagina.

The ice pack helps to numb the affected area thus reducing itching sensation, swelling, and inflammations.

What to do:

  • Put a few ice cubes in a bag and wrap in a clean cloth.
  • Place the ice pack on your vagina for a few minutes.
  • Remove for 10 minutes before reapplying.
  • Do this a few times to stop vaginal itching.

Oregano oil

It has antibacterial properties that help to get rid of the bacterial infection that triggers itching sensation and swellings.

According to medical reports from the Journal of Medicinal Food, oregano oil helps to destroy strains of bacteria causing vaginal itching.

What to do:

  • Add 2-3 drops of oregano oil to a tablespoon of virgin coconut oil.
  • Apply the antibacterial ointment to the labia, vaginal opening, or clitoris
  • Leave the oil to stay for some hours before rinsing with warm water.
  • Repeat the process until the itching sensation is relieved

Probiotics

This is a natural remedy that offers fast relief from vaginal itch. Most probiotic supplements can also help to prevent recurrences of vaginal infections.

They do also help to maintain a healthy balance of good bacteria in the vagina too.

Apple cider vinegar (ACV)

It has the ability to reduce vaginal itching and other related symptoms. It is known to cure yeast infection and bacterial infection in the vagina.

The acetic acid in the AV helps to get rid of strains of bacteria and yeast.

What to do:

  • Soak a tampon in a diluted mixture of equal parts of raw apple cider vinegar and water.
  • Insert into your vagina for 30-60 minutes to help kill off the microbes causing the itchiness.
  • Remove the tampon and rinse the genital area with warm water and dry completely.

Coconut oil

It helps to get rid of vaginal itch caused by eczema, bacterial vaginosis (BV), or candida.

They fatty component has a soothing effect as well as antimicrobial properties that fight various vaginal infections.

What to do:

  • Soak a tampon in liquefied virgin coconut oil.
  • Insert the coconut oil-soaked tampon into your vagina.
  • Leave for 8 hours (or overnight) to help reduce the infection and get relief from itchiness.
  • Rinse off with warm water and dry the affected area.
  • Use daily to reduce itching and vaginal infections.

Hydrogen peroxide

Use food grade hydrogen peroxide in order to get rid of bacteria and yeast that causes vaginal itch.

This is because they contain antiseptic properties that kill strains of bacteria or yeast causing infection in the vagina.

What to do:

  • Mix equal parts of water with 3% food grade hydrogen peroxide.
  • Soak a tampon in the liquid and insert into your vagina for 20-30 minutes.
  • Repeat applying the home remedy daily for up to 2 weeks until you no longer have itching around your vulva, labia, or vaginal opening.

Vulvar Itching Worse at Night Treatment

The common types of vulvar itching treatment include:

  • Use of over the counter antifungal creams in case of yeast infection
  • Use a gentle cleanser to clean the skin around the vagina thoroughly
  • Use can also use antibiotics or anti-parasitic drugs
  • Use estrogen cream, tablets, or a vaginal ring insert in case of menopause effects
  • Steroids creams or lotion can also relieve itching effect in the vagina

When to See a Doctor

In case all the above natural remedies and form of treatments have failed to work, it is recommended to visit your doctor for examination.

This is because vaginal itching can be as a result of more serious conditions.

There are certain STDs that are quite difficult to treat and this may require doctors’ examination.

Most of these complicate STDs are marked by the following symptoms:

  • Painful urination
  • Cloudy discharge from the genitalia
  • Lower abdominal pain
  • Painful bowel movements
  • Vaginal itching and/or irritation
  • Anal itching or burning

FURTHER REFERENCES

  1. Home Remedies for Vaginal Itching (Research-Based): https://www.healthyandnaturalworld.com/home-remedies-for-vaginal-itching/
  2. Why Does Your Vagina Itch During Night? http://www.newhealthadvisor.com/vaginal-itching-at-night.html
  3. Vulvodynia: What you need to know: https://www.medicalnewstoday.com/articles/189076.php
  4. Why Does My Vagina Itch? https://blogs.webmd.com/womens-health/2018/02/why-does-my-vagina-itch.html
  5. How to Stop Vaginal Itching: https://www.wikihow.com/Stop-Vaginal-Itching