Vulvar Irritation
Vulvar irritation includes burning, itching, or discomfort of the external genital area, often related to decreased estrogen during perimenopause and menopause as part of genitourinary syndrome of menopause (GSM).
How to track
- Log episodes of burning, itching, or irritation with timestamp.
- Rate discomfort severity (0-10 scale).
- Note specific location (labia, clitoris, vaginal opening, entire vulva).
- Record context such as after bathing, exercise, urination, or sexual activity.
- Track whether symptoms interfere with sleep, clothing comfort, or intimacy.
- Note any products used (soaps, lotions, laundry detergent) that may correlate with symptoms.
Common context
Vulvar irritation often occurs alongside vaginal dryness as estrogen levels decline, and may worsen with friction from clothing or activity. Tracking helps distinguish hormonal causes from allergic reactions or infections.
What to bring to a clinician
- How often do you experience vulvar discomfort each week?
- What activities or products seem to trigger or worsen symptoms?
- Have you noticed any correlation with menstrual cycle timing?
- Does vulvar irritation impact intimacy, exercise, or daily comfort?