Desquamative Inflammatory Vaginitis Overview
Know about the desquamative inflammatory vaginitis, what it is, symptoms, causes, diagnosis, and how it is treated. Learn about the tips for good vaginal health.
Written by Dr. J T Hema Pratima
Reviewed by Dr. Rohinipriyanka Pondugula MBBS
Last updated on 12th Sep, 2025
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Introduction
Desquamative Inflammatory Vaginitis (DIV) is a rare but uncomfortable vaginal condition that can cause significant discomfort. If you're experiencing unusual vaginal symptoms, it's natural to feel concerned. This article will help you understand DIV, its causes, symptoms, and ways to manage it effectively.
What is Desquamative Inflammatory Vaginitis (DIV)?
DIV is a chronic inflammatory condition of the vagina that leads to irritation, discharge, and discomfort. Unlike common vaginal infections like yeast or bacterial vaginosis, DIV is less common and often misdiagnosed. It primarily affects women in their reproductive years or postmenopausal women, though it can occur at any age.
Consult a Gynaecologist for Personalised Advice
Symptoms of DIV
If you have DIV, you may experience:
Thick, yellow or greenish vaginal discharge
Vaginal redness, burning, or soreness
Pain during intercourse (dyspareunia)
Vaginal itching or irritation
Increased discomfort during urination
These symptoms can be persistent and may not improve with typical treatments for yeast or bacterial infections.
What Causes DIV?
The exact cause of DIV is still unclear, but researchers believe it may be linked to:
An imbalance in vaginal bacteria
Hormonal changes (especially low estrogen levels in postmenopausal women)
An autoimmune response where the body mistakenly attacks healthy vaginal tissue
Chronic irritation from soaps, douches, or other hygiene products
Unlike infections caused by bacteria or yeast, DIV is not contagious and cannot be passed to a partner.
How is DIV Diagnosed?
Since DIV symptoms resemble other vaginal conditions, proper diagnosis is essential. Your doctor may:
1. Review your medical history – Discussing symptoms and previous treatments.
2. Perform a pelvic exam – Checking for redness, discharge, or inflammation.
3. Take a vaginal swab – To rule out infections like yeast or bacterial vaginosis.
4. Conduct a pH test – DIV often causes an elevated vaginal pH.
If standard treatments for infections don’t work, DIV may be the underlying issue.
How is DIV Treated?
While there’s no one-size-fits-all cure for DIV, treatments focus on reducing inflammation and restoring vaginal health. Your doctor may recommend:
1. Topical Steroids
Hydrocortisone creams can help reduce inflammation and irritation.
2. Hormonal Therapy
Vaginal estrogen creams may be prescribed if low estrogen levels contribute to symptoms (common in postmenopausal women).
3. Antibiotics or Anti-Inflammatory Medications
Clindamycin cream (an antibiotic) can help if a bacterial imbalance is suspected.
Steroid suppositories may be used in severe cases.
4. Lifestyle Adjustments
Avoid irritants like scented soaps, douches, or tight synthetic underwear.
Use fragrance-free, hypoallergenic hygiene products.
Wear cotton underwear to allow better airflow.
Stay hydrated and maintain a balanced diet to support vaginal health.
When to See a Doctor?
If you experience persistent vaginal discomfort, unusual discharge, or pain that doesn’t improve with over-the-counter treatments, consult a healthcare provider. Early diagnosis can prevent prolonged discomfort and complications.
Living with DIV: Tips for Better Vaginal Health
While DIV can be frustrating, these self-care tips can help manage symptoms:
Practice gentle hygiene – Use mild, unscented cleansers.
Avoid excessive washing – Over-cleaning can worsen irritation.
Stay hydrated – Drinking water helps maintain natural moisture.
Consider probiotics – Some studies suggest probiotics may support vaginal flora balance.
Final Thoughts
Desquamative Inflammatory Vaginitis can be distressing, but with the right diagnosis and treatment, relief is possible. If you suspect DIV, don’t hesitate to seek medical advice. Remember, you’re not alone—many women experience similar challenges, and help is available.
Consult a Gynaecologist for Personalised Advice
Consult a Gynaecologist for Personalised Advice
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Consult a Gynaecologist for Personalised Advice
Dr Homeira Nishat
Obstetrician and Gynaecologist
34 Years • MBBS, Diploma in Obstetrics & Gynaecology
Bengaluru
Cure Hospital and Clinic, Bengaluru
Dr. Jasmine Sarah Abraham
Obstetrician and Gynaecologist
14 Years • MBBS, MS (Obstetrics & Gynaecology), MRCOG (Obstetrics & Gynaecology) (Fellowship in Minimal Invasive Surgery (Gynaecology)
Bengaluru
Unicorn Multi-Speciality Clinic, Bengaluru
Dr. Sreeparna Roy
Obstetrician and Gynaecologist
8 Years • MBBS , MS (OBSTETRICS & GYNAECOLOGY), Fellowship in Infertility, Endoscopy & Ultrasonography), Fellowship in Laparoscopy & Hysteroscopy,DRM
Barasat
Diab-Eat-Ease, Barasat
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Obstetrician and Gynaecologist
16 Years • MBBS, DGO(GYNAECOLOGY AND OBSTETRICS)
Pune
Dr Rupali and Dr Ritika, Pune
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