Sore red patches on the vulva are areas of inflamed skin that can be painful, itchy, or tender. These patches can vary in size and may be accompanied by swelling, discharge, or other symptoms. The causes of sore red patches on the vulva are diverse and can include infections such as yeast infections, bacterial vaginosis, or sexually transmitted infections like herpes or human papillomavirus (HPV). Skin conditions like dermatitis, lichen sclerosus, or psoriasis can also cause redness and soreness. Allergic reactions to personal care products, fabrics, or medications are other common triggers. Hormonal changes, particularly during menopause, can lead to thinning of the vulvar skin (atrophic vaginitis), making it more prone to irritation and soreness. Additionally, physical trauma from friction, sexual activity, or excessive washing can contribute to the development of sore red patches.
Treatment for sore red patches on the vulva depends on the underlying cause. For infections, antifungal, antibacterial, or antiviral medications may be prescribed. If an allergic reaction or irritant is suspected, avoiding the triggering substance and using hypoallergenic products can help. For inflammatory skin conditions like dermatitis or lichen sclerosus, topical steroids or other anti-inflammatory creams may be used to reduce symptoms. Keeping the area clean and dry, wearing loose-fitting cotton underwear, and avoiding harsh soaps or douches can prevent further irritation. For cases associated with hormonal changes, topical estrogen creams may be beneficial. It's important to consult a healthcare provider for an accurate diagnosis and appropriate treatment, especially if symptoms persist or worsen.
