“In my ninth month of pregnancy my baby wedged his foot between my ribs and managed to crack my rib cage, which meant that lying prone was out of the question, so from then on I had to sleep sitting straight up. I was probably a little delirious when, a week past my due date, I convinced Dr. Sherry Ross to induce me. After four epidurals, my boy came tearing out, literally—his name was supposed to be Hudson, but, roughed up as he was, with only one eye open, my husband suggested he seemed more like a “Jack.” Believe me, the pushing part of giving birth was a piece of cake compared to the recovery, which took almost a year. From the moment I felt that memorable stitch pop, a day or so after Jack’s grand entrance into the world, I had to deal with a very cranky V. I will spare you the gory details of my recovery, other than to say that during it I became pregnant with my second child, Ava!

Since my pregnancies, my relationship with Dr. Sherry Ross has made me a doctor appointment convert. I actually look forward to my yearly visits—which are more like pilgrimages because I live on the opposite side of town and have to navigate hours of horrendous Los Angeles traffic. What’s ironic is that reading this chapter of Dr. Sherry Ross’ book made me realize that it doesn’t make sense not to check in with a doctor when something is troubling. I mean, come on—and I say this to myself as well—there’s no need to tough it out on your own when dealing with something as important as your V and your health in general.”

—Amy Acker Actress

 

Cease and desist that urge to itch! Please don’t automatically assume you have a yeast infection as you run with your Cranky V to the local CVS for some over the counter Monistat or Vagisil. You create an uphill battle by playing doctor and missing a true diagnosis—treatment is delayed and your vagina may become so angry and painful that your Cranky V is all you can think of. Over the years the most painful vaginas I’ve treated are those suffering from what is called the “itch-scratch” cycle. Fragrant body and laundry soaps, sanitary pads, and stress are some of the main culprits.


Chapter Photos

Itch-Scratch Cycle affect on the Labia Majora
Itch-Scratch Cycle affect on the Labia Majora
Itch-Scratch Cycle affect on the Labia Majora
Itch-Scratch Cycle affect on the Labia Majora

Wearing a thin mini-pad every day to to avoid getting the “normal” vaginal discharge on your underwear can cause thickened and itchy vulva. Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms.

Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora

Wearing a thin mini-pad every day to to avoid getting the “normal” vaginal discharge on your underwear can cause thickened and itchy vulva. Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms.

Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora

Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms. Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.

Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora

Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms. Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.

Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora
Itch-Scratch Cycle affect on the Labia Majora and Minora

Changes may also include lightening or darkening of the vulvar skin, grayish white and thicker skin, fissures, and hair loss. Heat, stress, mini-pads, lubricants, fragrant soaps and laundry products, and menses exacerbate the symptoms. Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.

Chronic Itch-Scratch Cycle
Chronic Itch-Scratch Cycle
Chronic Itch-Scratch Cycle
Chronic Itch-Scratch Cycle

Lichen Simplex Chronicus (LSC) is the medical condition
most commonly known as the itch-scratch cycle.

Chronic Rectal Itching
Chronic Rectal Itching
Chronic Rectal Itching
Chronic Rectal Itching

Chronic rectal itching caused the skin of the anus to be thickened and dry, which in turn, leads to more itching…more scratching.

Chronic Rectal Itching
Chronic Rectal Itching
Chronic Rectal Itching
Chronic Rectal Itching

One year later with inconsistent treatment. Long time rectal itching became severe and unmanageable—
Scratching often occurs on a subconscious level during the day and night,
while sleeping, and can result in abrasions and tears if left
untreated.With chronic itching comes thickening and drying of the skin, which promotes the itch-scratch cycle, which, in turn, lead to visible changes on the hood of the clitoris, the lips of the vagina and the area around the anus.

Resolving Chronic Rectal Itching
Resolving Chronic Rectal Itching
Resolving Chronic Rectal Itching
Resolving Chronic Rectal Itching

One year later, this same patient was more consistent using steroid cream and nightly warm baths with extra virgin coconut oil.

Resolving Chronic Rectal Itching
Resolving Chronic Rectal Itching
Resolving Chronic Rectal Itching
Resolving Chronic Rectal Itching

Two years later, this same patient was more consistent using steroid cream and nightly warm baths with extra virgin coconut oil. Her symptoms resolved but a scarred anal area can be seen from the chronic itching and scratching.

Chronic Rectal Itching
Chronic Rectal Itching
Chronic Rectal Itching
Chronic Rectal Itching
Chronic Yeast Infections
Chronic Yeast Infections
Chronic Yeast Infections
Chronic Yeast Infections

Chronic yeast refers to four or more symptomatic cases of
candida vulvovaginitis (vaginal yeast infection) in a 12-month
period. Symptoms include chronic vaginal pain along with
intense itching and thick discharge. Those who may be prone
to chronic yeast include women who have frequent sex, women with new partners, and those who have recently taken or tend to take antibiotics.

Chronic Yeast Infection
Chronic Yeast Infection
Chronic Yeast Infection
Chronic Yeast Infection

This 83y year old woman has urinary incontinence and has to wear a diaper 24 hours a day.

Bacterial Vaginosis (BV)
Bacterial Vaginosis (BV)
Bacterial Vaginosis (BV)
Bacterial Vaginosis (BV)

BV is also known as Gardnerella. Douching…just DON’T! Douching upsets the normally acidic vagina causing bacterial and yeast infections.

Yeast and Bacterial Infection
Yeast and Bacterial Infection
Yeast and Bacterial Infection
Yeast and Bacterial Infection

Often yeast and bacteria are found together on a vaginal culture

Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Psoriasis of the Vagina
Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus

Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.

Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus

Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.

Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus

Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.

Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus
Lichen Sclerosus

Lichen Sclerosus is a chronic skin condition involving the vagina that is mainly seen in menopausal women. Symptoms include small white, shiny, smooth spots on the skin. As a result there can be itching, bleeding, pain and tearing of the vagina. Steroid cream is often helpful in managing the symptoms. The cause of lichen sclerosus is unknown but may be the result of an overactive immune system and hormone problems.

Tears on the labia from wearing G-String underwear
Tears on the labia from wearing G-String underwear
Tears on the labia from wearing G-String underwear
Tears on the labia from wearing G-String underwear