Ask the Nurse

Can hormone changes during perimenopause cause vulvar burning, itching or redness? Tests ruled out any infection, and multiple treatments with topical steroids only make the symptoms worse. Oral steroids have not helped either. I have gone soap-free for that area and for undergarments as well. It is very uncomfortable for even simple activities like walking and sitting.


You can have skin changes during perimenopause, but they should always be evaluated by an OB/GYN or by a women's health specialist. If you are still symptomatic and treatments are not working you may need to have a biopsy.

To help decrease irritation try:

  • Wearing cotton panties
  • Avoiding fabric softener
  • Avoiding perfumed detergents

All My Best,
Speaking of Women's Health Nurse

April 22, 2013 at 10:15am