Itchy vulva during period. All references are available in the References tab. Stress - As in most diseases, stress is a dark force that can lead to several systemic changes that lead to pain. If the cause of the irritation is determined to be a product then it should be removed from use and changed. You should wear underwear that keeps your genital area dry and does not hold moisture. HRT and birth control pills - Hormone replacement therapy may not be in line with what the woman actually needs. This also works by restoring back vaginal pH. During menopausehormone levels decrease, which causes changes in the vulva known as vulvovaginal atrophy. This can be scratches in the vagina that occur during insertion of a tampon or other objects, or during rough sex. BV is generally treated with either metronidazole or clindamycin. There is not a lot of evidence showing if probiotics as a supplement or in yogurt are helpful in preventing trichomoniasis.