A variety of chemical substances can cause local irritation of the skin. The vulva, because of its' mucous membrane and confined space, is more sensitive to these chemicals than many other areas of the body.

Perfumes, soaps, detergents, feminine hygiene products, contraceptives (latex, creams, jellies), and medications have all been the cause of vulvar contact dermatitis.

Contact dermatitis presents as a raised, itchy, red lesion in the area of contact with the irritating substance. The areas where skin touches skin are particularly sensitive since the irritating substance is held in place by the opposing skin surfaces. This creates a "butterfly" shaped rash in many patients.

Treatment consists of identifying and eliminating the irritating substance. In severe cases, Burow's Solution soaks will provide immediate relief and topical steroid cream will give intermediate term relief.