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    Itch prior to period
    An_248899 posted:
    Went for D&C in August 2012. Since then, a few days prior to my period I would experience a burning itch at the opening of vagina. What would be the cause of this? My pap smear result is clear.
    Jane Harrison Hohner, RN, RNP responded:
    Dear An: A couple of POSSIBLE explanations might include:

    1. Premenstrual flare of yeast infection---Many of us carry small amounts of vaginal yeast which can temporarily overgrow. This commonly occurs before menses.

    2. Genital herpes--Frequently genital herpes will flare during the premenstrual time. Yet you reported only prodromal-type symptoms (eg itching, burning) never any tiny painful sore at the site.

    Your best bet is to see your GYN at the time the symptoms are present (ie schedule an appointment right before your period is due). This will increase your chances of getting the most accurate diagnosis.

    azifah replied to Jane Harrison Hohner, RN, RNP's response:
    No painful sores. Just itching. If #1 is the case, what can I do so that the yeast infection doesn't flare up pre-mens?

    Will schedule an appointment with my GYN next month.
    Jane Harrison Hohner, RN, RNP replied to azifah's response:
    Dear azifah: The most important thing is to get a definitive diagnosis. If it is confirmed to be recurrent yeast then then some additional testing can be done to see if a predisposing medical condition (eg diabetes, HIV) is the culprit.

    Women with chronic yeast may be treated with a variety of options. A change of prescriptive yeast treatment may be tried. Preventative treatments may be used around the time of menses every month, including over the counter products which contain miconazole or clotrimazole. A three day regimen would be very appropriate, or even a one time dose regimen. Use of other medications which can predispose women to candida (eg steroids, chronic oral antibiotics, or even birth control pills) may need to be re-examined.

    Additional lifestyle methods, which have been advocated for "yeast infection prevention," include: a diet low in refined sugars and simple carbohydrates, avoidance of tight jeans, use of cotton underwear, eating natural lactobacillus yogurt, and others. There are few, if any, good research studies which demonstrate that these methods are helpful, but some women swear by them.

    If your GYN does document yeast then you can ask them for their recommendations.


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