Medical history (history of the patient) represents an important component in the diagnosis of pruritus vulvae.
Family history
Social history
Current anamnesis/systemic anamnesis (somatic and psychological complaints).
- How long have you had pruritus?
- Does the itching occur continuously, sporadically, in certain situations, during bes. activities, during or after urination, in warmth, or bes. at night?
- Have you noticed discharge or other symptoms in the area of the external genitals, vagina of the anus, urination, abdomen?
- Do you have joking in the area of the vulva, vagina, abdomen?
- Is the vagina dry?
- Is intercourse possible, painful? How intense is the sex life? What sexual practices are performed?
- What is your intimate hygiene?
- How common have identical or similar symptoms been in the past, or are the symptoms quite different?
- Ask about other detergents, synthetic clothing, etc.
- Is the underwear boiled?
- Is there evidence of shared use of washcloths, towels, toothbrushes (bes. Candida transmission)?
- Is there evidence of dermatitis?
- What medications are you taking or have you taken (esp. antibiotics)?
Vegetative anamnesis incl. nutritional anamnesis.
Self anamnesis incl. medication anamnesis
- Previous diseases (gynecological diseases; urinary tract infections).
- Operations
- Allergies
Medication history
- Antibiotics
- Glucocorticoids
- Immunosuppressants
- Ovulation inhibitors
- Cytostatics