Desquamative inflammatory vaginitis (DIV) is a condition that affects the vagina, causing inflammation and discomfort for those affected. While it is not as well-known as other vaginal conditions, such as yeast infections or bacterial vaginosis, DIV can significantly impact a woman's quality of life. In this article, we will explore the causes, symptoms, and treatment options for DIV, shedding light on this often misunderstood condition.

Understanding DIV

Desquamative inflammatory vaginitis is characterized by chronic inflammation of the vaginal mucosa, resulting in symptoms such as itching, burning, discharge, and discomfort during sexual intercourse. The exact cause of DIV is not fully understood, but it is believed to be associated with an overactive immune response in the vaginal tissue. It can affect women of all ages, although it is most commonly seen in women who are postmenopausal.

Causes and Risk Factors

The precise cause of DIV remains unknown, but several factors have been associated with the condition:

1. Hormonal changes: Fluctuations in hormone levels, particularly estrogen, may contribute to the development of DIV. Postmenopausal women, who experience decreased estrogen levels, are at higher risk.

2. Allergic reactions: Some women may develop an allergic reaction to certain products, such as soaps, douches, perfumes, or latex condoms, which can trigger DIV symptoms.

3. Infection: While DIV is not typically caused by an infection, some cases have been linked to the presence of certain bacteria, such as group B Streptococcus or Escherichia coli.

4. Immune system dysfunction: Individuals with compromised immune systems, such as those with HIV or undergoing chemotherapy, may be more susceptible to developing DIV.

Symptoms of DIV

Desquamative inflammatory vaginitis manifests through various symptoms, including:

1. Vaginal discharge: A characteristic feature of DIV is a yellow or greenish discharge that is often described as "frothy" or "sticky." The discharge may have a foul odor.

2. Vaginal itching and discomfort: Itching, burning, and irritation in the vaginal area are common symptoms of DIV. These symptoms can range from mild to severe and may worsen during sexual intercourse or when using certain products.

3. Redness and swelling: Inflammation of the vaginal tissue can lead to redness, swelling, and tenderness in the affected area.

Diagnosis and Treatment

If you suspect you have DIV, it is essential to consult with a healthcare professional for an accurate diagnosis. Your healthcare provider will typically perform a thorough examination and may order additional tests to rule out other possible causes of your symptoms.

Treatment for DIV focuses on alleviating symptoms and reducing inflammation. Depending on the severity of the condition, treatment options may include:

1. Topical corticosteroids: Prescription-strength corticosteroid creams or ointments can help reduce inflammation and relieve symptoms.

2. Vaginal moisturizers: Moisturizing agents designed for vaginal use can help alleviate dryness and discomfort associated with DIV.

3. Avoiding irritants: Identifying and avoiding potential triggers, such as certain hygiene products or allergens, can help manage symptoms and prevent exacerbation of DIV.

4. Hormone replacement therapy: In some cases, hormone replacement therapy (HRT) may be prescribed to postmenopausal women to help rebalance hormone levels and alleviate symptoms.

5. Antibiotics or antifungal medication: If an underlying infection is present, your healthcare provider may prescribe appropriate medication to treat the infection.


Desquamative inflammatory vaginitis (DIV) is a chronic condition that can cause significant discomfort for those affected. Although it is not as widely recognized as other vaginal conditions, understanding its causes, symptoms, and treatment options is crucial for those seeking relief. If you suspect you have DIV, it is important to consult with a healthcare professional who can provide an accurate diagnosis and develop an appropriate treatment plan tailored to your specific needs. By raising awareness about DIV, we can help empower individuals to seek the support they need and improve their overall well-being.