Genital allergy should be considered as a possible diagnosis in all patients with genital soreness or irritation for which no infection or dermatosis can be identified and in whom symptoms remain unchanged or worsen with treatment. It is an underreported and underdiagnosed condition as patients may not complain about symptoms in this area. Moreover, diagnosis and therapy may not often be conducted by a dermatologist or allergologist. Therefore, many cases of allergic diseases in the genital area remain undetected. The genital area is exposed to various allergens and irritants due to hygienic and sexual practices that are not always obvious. The patient may complain of burning and stinging of vulva, but examination may not reveal dermatitis.
Types and Treatment of Allergic Reaction on Vagina | New Health Advisor
A more recent article on vaginitis is available. Patient information : See related handout on vaginitis , written by the authors of this article. Related letter: Conventional vs. Bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis are the most common infectious causes of vaginitis. Bacterial vaginosis occurs when the normal lactobacilli of the vagina are replaced by mostly anaerobic bacteria. Diagnosis is commonly made using the Amsel criteria, which include vaginal pH greater than 4. Oral and topical clindamycin and metronidazole are equally effective at eradicating bacterial vaginosis.
Allergic reactions set off by sexual intercourse may be responsible for a significant number of cases of recurrent vaginitis, including some in which yeast infections are found, recent studies indicate. In fact, preliminary findings from research at Cornell University Medical School suggest that the presence of a yeast infection can cause doctors to overlook the possibility of an allergy, which can be readily treated simply by using condoms for sexual encounters. The studies suggest that allergy is especially likely to be the primary cause of recurrent vaginitis, an inflammation that causes vaginal itching, burning, discharge and pain, when symptoms occur soon after a woman has had sexual intercourse. The allergic reaction typically occurs with one sexual partner and not others. Exploring a Mystery.
While relatively rare, allergic reactions are possible during sexual intercourse. Sex allergy is likely underreported due to the private nature of the matter and the reluctance of a person to bring up the issue with their doctor. Most people would assume that these reactions could be caused by exposure to a latex condom, which probably would be the most common cause. Other causes include allergy to seminal fluid semen , gustatory rhinitis caused by strong emotions related to sex, and other symptoms related to exercise as a result of sexual activity.