Vaginal Itching or Irritation  
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This Care Guide Covers:

  • Genital itching or burning in young girls (before puberty)
  • No pain or burning when passing urine

If not, see these topics
When to Call Your Doctor

Call Your Doctor Now (night or day) If
  • Your child looks or acts very sick
  • Could be from sexual abuse
  • Vaginal bleeding
  • You think your child needs to be seen urgently
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
  • You think your child needs to be seen, but not urgently
  • Vaginal discharge
  • Fever is present
Call Your Doctor During Weekday Office Hours If
  • You have other questions or concerns
  • Puberty has started (Reason: Soap vulvitis is not the cause)
  • Vaginal itching lasts more than 2 days using this care advice
  • Vaginal itching is a frequent problem
Parent Care at Home If
  • Soap vulvitis suspected
Causes & Health Information

Cause

CARE ADVICE FOR SOAP VULVITIS

  1. What You Should Know:
    • Genital itching in young girls is most often caused by soap (especially bubble bath). This area is sensitive to the drying effect of soap.
    • Only cleanse the genitals with warm water.
    • After puberty, soap can be tolerated.
    • Here is some care advice that should help.
  2. Baking Soda Baths - Young Girls Only:
    • Soak for 10 minutes to remove germs and to help with healing.
    • Add 2 ounces (60 ml) baking soda per tub of warm water.
    • Reason: Baking soda is better than vinegar for young girls.
    • During soaks, be sure she spreads her legs. This allows the water to cleanse the genitals.
    • Repeat baking soda soaks 2 times per day for 2 days.
  3. Steroid Cream:
    • Put a tiny amount of 1% hydrocortisone cream on the genitals.
    • No prescription is needed.
    • Use after soaks for 1 or 2 days. Do not use more than 2 days.
  4. Prevention - Do Not Use Soaps:
    • Do not use bubble bath, soap and shampoo in the bath water. They can cause the genitals to be red, sore or itchy.
    • Only use warm water to cleanse the genitals.
    • Baby oil can be used to remove any dried body fluids.
    • After puberty, soap can be used.
  5. What to Expect:
    • If soap is the cause, symptoms should go away within 2 days.
  6. Call Your Doctor If:
    • Itching lasts over 48 hours using this care advice
    • Vaginal discharge or bleeding occurs
    • Passing urine becomes painful
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Author and Senior Reviewer: Barton D. Schmitt, M.D.

Last Reviewed: 9/1/2012

Last Revised: 1/13/2013

Content Set: Child Symptom Checker

Copyright 1994-2012 Barton D. Schmitt, M.D.