Genital itching has a wide range of causes, from benign (irritation) to serious (STDs and diabetes). In this post, we talk about some of the main reasons for an itchy groin and what to do if it suddenly feels like you’ve got ants in your pants.
What do you mean, ‘genital itching’?
Genital itching refers to an itchy sensation, intermittent or constant need to scratch the skin in and around the penis or vagina. The itch may be confined to the skin of the groin and pubic hair. In men, it may also affect the head and shaft of the penis, or in women, the inner and outer labia, or internally (inside the vagina). Other symptoms, such as redness, flaky skin, or an unusual discharge, may accompany the itch.
I just have a yeast infection, right?
This could be the cause, yes. Yeast infections are so common that more than 75% of women will have one at some point in their lives. It’s less common, but men get them too. The classic symptom is intense itchiness of the labia and vagina or penis, accompanied by redness, soreness, and a thick, white, cottage-cheese-consistency discharge that has no smell.
So can I just get some over-the-counter medicine and call it good?
It is advisable that you never self-diagnose a yeast infection, even if all the symptoms suggest this is the cause. There are two main reasons for this.
1) If you self-treat for yeast and you don’t actually have a yeast infection, you can make whatever IS going on down there worse. This is because antifungal medications destroy both good and bad flora in your genitals. The good flora are essential when you’re fighting an infection. Always check in with your doctor before embarking on any treatment, even when you’re experiencing symptoms.
2) If you are experiencing recurring yeast infections, your doctor should be aware, as it could be a sign of a more serious condition, such as diabetes.
Wait. Genital itching is a sign of diabetes?
Surprisingly, yes. People with Type 2 diabetes have high levels of glucose in their blood, which can lead to recurrent yeast infections. If you are experiencing regular yeast issues, it’s definitely something to discuss with your doctor.
Could itchiness down there mean I have an STD?
It’s not out of the question. Genital herpes and trichomoniasis are both sexually transmitted diseases that feature itchiness as one of their common symptoms. The itch of trichomoniasis (sometimes shortened to ‘trich’), an STI caused by a parasite, has similar symptoms to a yeast infection, but the discharge may be green instead of white. With genital herpes, the itching typically begins before an outbreak of blisters and then intensifies once they develop into sores. And it is more rare, but there’s also pubic lice (crabs) to consider…
Oh my God, I have an STD!
Not necessarily. Before assuming you have an infection, it’s best to consult a doctor and discuss your symptoms with them. They can examine you and advise you on proper testing.
Well, if it’s not yeast and it’s not an STD, what else could it be?
Have you shaved recently? If you’re noticing a sudden itch, think back to the last time you groomed. Early re-growth from shaving, and even sometimes from waxing, can cause a temporary, but intense, itchiness.
It’s definitely not that. Any other ideas?
Hormonal changes, namely a drop in estrogen levels, can cause the vagina’s mucosal lining to thin, leading to itching. This is more likely to happen if you have already experienced menopause or are experiencing other perimenopausal symptoms.
Nope… try again.
It may be reassuring to know that one of the top three most common causes of itching in the genital area is skin irritation. You may be sensitive or allergic to chemicals in your washing powder, pantyliners, or other feminine hygiene products. Avoid scented soaps, sanitary towels, and liners. Change up your washing powder. And, ladies, never use feminine sprays, powders, or douches, as they disrupt your vaginal flora.
I’m pretty sporty. Could that be a factor?
Yes, certain types of genital itching are more likely to affect athletes. Tinea cruris (“jock itch”) is a fungal infection of the genitals and buttocks caused by hot, damp conditions (like exercising and sweating into your gym shorts frequently). People who exercise a lot are also more susceptible to yeast infections. If you spend a significant part of your day in yoga pants, cycling shorts, or other tight, synthetic undergarments, it creates the perfect conditions for bad bacteria to breed. Consider switching to cotton underwear and loose-fitting pants to allow things to breathe and keep the air flowing.
Should I see the doctor?
Yes. Make an appointment to chat with a GP as soon as you notice that something is wrong. They can either reassure you immediately, recommend appropriate tests, or refer you to suitable treatment.
