38 Weeks Pregnant Itchy Down Below: How to Get Relief

What Causes Vaginal Itching at 38 Weeks of Pregnancy:

There are several reasons why you might experience itchiness in your vaginal area during the last few weeks of pregnancy. Some are harmless and manageable at home, while others may require medical treatment. Below are the most common causes of vaginal itching at 38 weeks pregnant:

1. Hormonal Changes:

During pregnancy, your hormone levels, especially estrogen and progesterone, rise significantly. These hormonal surges can affect the balance of bacteria in the vagina, leading to increased discharge and occasional itching. Although this discharge is usually harmless, it can create a moist environment that promotes irritation if not managed properly.

Additionally, hormonal changes can cause vaginal pH shifts, making you more prone to yeast infections and other conditions that trigger itchiness.

2. Skin Dryness and Stretching:

As your body expands to accommodate your growing baby, the skin around your genital area and thighs may stretch, leading to dryness. The stretched skin becomes prone to itching and irritation. If you notice that your belly, thighs, or vaginal area feel tight or dry, this could be the underlying reason for your itch. Dryness is often more noticeable during cold weather or if you’re using soaps that strip natural oils from your skin.

Chafing from tight clothing or sweating between the thighs can further aggravate this issue. At 38 weeks, you are likely feeling more pressure on your pelvis, and excessive moisture in the area can worsen the irritation.

3. Yeast Infection (Candidiasis):

A yeast infection is one of the most common causes of vaginal itching in the third trimester. It occurs when Candida, a type of fungus that naturally lives in your body, grows excessively. Yeast infections during pregnancy are common because of hormonal shifts that alter the vaginal pH.

Symptoms of a yeast infection include:

• Intense itching and burning in the vaginal area
• Thick, white, cottage cheese-like discharge
• Redness or swelling around the vulva
• Pain or burning during urination or sex

Yeast infections are not harmful to your baby, but they can be uncomfortable and require treatment with antifungal medications recommended by your doctor.

4. Bacterial Vaginosis (BV):

Bacterial vaginosis is caused by an imbalance of bacteria in the vagina. Pregnant women are more susceptible to BV because hormonal changes affect bacterial growth. Symptoms of BV include:

• Mild to moderate itching
• Grayish, watery discharge with a fishy odor
• Vaginal discomfort or irritation

If left untreated, BV can increase the risk of preterm labor or low birth weight, so it’s essential to seek medical treatment if you suspect you have this condition. Doctors typically prescribe antibiotics to manage BV during pregnancy.

5. Cholestasis of Pregnancy:

Though rare, cholestasis of pregnancy is a liver condition that can cause severe itching in the hands, feet, and occasionally the vaginal area. It occurs because bile acids accumulate in the bloodstream instead of being excreted properly by the liver.

Symptoms of cholestasis include:

• Itching that worsens at night
• No visible rash, but intense discomfort
• Yellowing of the skin (jaundice)
• Dark urine or pale stools

Cholestasis requires immediate medical attention because it can pose risks to your baby, such as preterm delivery or stillbirth. Your doctor may recommend early delivery if cholestasis is diagnosed at 38 weeks.

6. Allergic Reactions or Sensitivities:

Pregnancy can cause your skin to become more sensitive to products you previously used without any issues. Laundry detergents, body washes, or scented sanitary products can trigger allergic reactions, leading to itching and redness in the vaginal area. Wearing tight underwear or synthetic fabrics may also irritate the skin and increase discomfort.