Pruritus vulvae refers to persistent vulval itching and affects up to 1 in 10 women at some point in their life. Frequently, there is a delay in seeking medical advice, and women often self-medicate with over-the-counter preparations before seeing their GP. These preparations may exacerbate the problem further. As pruritus vulvae has a wide range of causes, a careful history and examination are essential. Management involves both general measures to reduce itching as well as those targeted at the specific cause. This article summarizes the common causes of pruritus vulvae and an approach to assessment and management.
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