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A less widespread cause of irritation is genital lichen planus, another inflammatory disorder. The manufacturing of the feminine intercourse hormone estradiol (an estrogen) at puberty, causes the perineal pores and skin to thicken by keratinising, and this reduces the risk of infection. In prepubertal girls, the skin of the vulva is skinny and delicate, and its impartial pH makes it vulnerable to irritation. The follow of secure intercourse can enormously cut back the risk of infection from many sexually transmitted pathogens. It could cause discomfort during sexual exercise because it could cause the clitoral glans to stick to the hood, and is well removed by bathing. The most typical cause of irritation is thrush, a fungal infection. Other variations of the vulva embrace the appearance of Fordyce spots and clitoral phimosis (when the clitoral hood can not retract past the glans) The decreased estrogen affects the mons, the labia, and the vaginal opening and may cause pale, itchy, and sore pores and skin.
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