Vaginitis


What are the symptoms of trichomonal and fungal vaginitis?
Trichomonal vaginitis primarily presents with symptoms such as vulvar itching, yellow purulent vaginal discharge, and a foul odor; severe cases can cause vaginal congestion and edema. If it is candidal vaginitis, the main symptom is severe vulvar itching, sometimes accompanied by vulvar edema. Scratching may reveal scratch marks on the vulva. The discharge in this type of vaginitis typically resembles cottage cheese and usually does not have an odor, but a foul smell may occur if there is a bacterial co-infection. In terms of treatment, these two types of vaginitis require different approaches. Trichomonal vaginitis can be treated with metronidazole or tinidazole, whereas candidal vaginitis can be treated with clotrimazole vaginal tablets. (Specific medications should be used under the guidance of a physician.)


Symptoms of yeast vaginitis
Vaginal yeast infection, formerly known as vulvovaginal candidiasis, is a common and frequently occurring inflammatory disease of the vulva and vagina caused by Candida. Typical symptoms include itching of the vulva and vagina, with the severity of the itching varying, starting and stopping intermittently. When the itching is severe, it can cause restlessness and disrupt sleep and eating. In more severe cases of inflammation, there may also be pain during urination or intercourse. Another main symptom of this disease is an increase in vaginal discharge, which is characterized as white, thick, and either resembling curdled milk or cheese-like chunks.


Symptoms of Candidal Vulvovaginitis
The main symptoms of candidal vulvovaginitis include itching and a burning sensation of the vulva. There is pain during urination, and in severe cases, swelling of the vulva can occur. Some people may scratch due to the itching, leading to breaks in the skin of the vulva, and sometimes even fissures in the vulval skin. These are symptoms of candidal vulvovaginitis. Another typical symptom is a cottage cheese-like vaginal discharge, which is seen at the vaginal opening as curdy, and is difficult to remove.


What are the medicines for treating vaginitis?
There are many medications for treating vaginitis, but there are also many types of vaginitis, and the medication course and treatment methods vary for different types. If one contracts vaginitis, it is necessary to go to the hospital promptly for tests on vaginal discharge to identify the pathogen before starting medication. For trichomoniasis vaginitis, oral metronidazole or tinidazole can be used for treatment. For fungal vaginitis, clotrimazole vaginal tablets can be inserted, or oral itraconazole or fluconazole can be taken. For bacterial vaginitis, oral clindamycin can be used, or metronidazole can be administered. Treatment should be based on the specific pathogen, enabling quick recovery from vaginitis. Note: Medications should be used under the guidance of a doctor.


Symptoms of senile vaginitis
Senile vaginitis mainly occurs in women after natural menopause or surgical menopause. The main symptom is an increase in vaginal discharge, which can be a thin, yellow fluid, and some women may also have purulent white discharge. Due to the thinning and decreased elasticity of the vaginal mucosa, women may experience pain during sexual intercourse. Often, there can be a burning sensation or itching in the vulva, and these symptoms can be exacerbated by friction while walking. Additionally, some women, due to decreased estrogen levels, suffer from reduced elasticity of the vaginal walls, leading to the formation of ulcers. Sometimes, adhesions can occur between the anterior and posterior vaginal walls due to the ulcers, preventing the drainage of pus from the vagina or uterine cavity, causing symptoms like a heavy feeling and pain in the lower abdomen.


What are the symptoms of yeast vaginitis?
When women suffer from candidal vaginitis, they will produce a cottage cheese-like vaginal discharge, along with intense itching of the vulva. The itching, especially severe at night, is the most intense among symptoms of vaginitis and can disrupt normal sleep. Moreover, the discharge is thick and adheres to the vaginal walls, making it difficult to expel. There can be congestion and swelling of the vulva due to the poor elasticity of the vulval skin and mucous membrane, which can lead to painful cracking during intercourse. Additionally, the infection can spread to the urethral opening and urethra, causing frequent urination and urgency in women, and it can also be transmitted to men through sexual activity.


Symptoms of postmenopausal bacterial vaginitis
If a patient in menopause has bacterial vaginosis, the typical symptoms are itching in the vagina, local discomfort, and there may be a foul odor and increased discharge, with the secretions becoming more abundant. It is recommended that patients with these symptoms promptly visit a hospital to check their vaginal discharge to determine if they have bacterial vaginosis and identify the pathogen causing it. This way, targeted treatment measures can be adopted, and appropriate medication can be administered. Therefore, it is advised that such patients should seek medical consultation and examination at a hospital. (The use of medication should be under the guidance of a doctor.)


Is vaginal itching vaginalitis?
Vaginal itching is mostly caused by vaginitis, with trichomonal vaginitis and candidal vaginitis causing noticeable symptoms. It is best to visit a hospital to test vaginal discharge and determine the infectious pathogen before medicating. Candidal vaginitis can be treated with clotrimazole vaginal tablets, miconazole suppositories, and oral fluconazole and itraconazole, which are all very effective. For trichomonal vaginitis, oral treatment with metronidazole or tinidazole can be used, and metronidazole can also be placed inside the vagina. These medications should be used under the guidance of a doctor.


How to treat fungal vaginitis with medication?
Candidal vaginitis is a common type of vaginitis. It can occur when a woman's immune resistance is weakened or under some special circumstances, leading to the onset of candidal vaginitis. Currently, the treatment of candidal vaginitis in clinical practice often involves the use of vaginal medications. The choice of medication mainly aims to inhibit the growth of the fungus. Therefore, antifungal drugs are commonly selected for the treatment of candidal vaginitis. There are many drugs available, and it is recommended that patients undergo examination at local hospitals before treatment. (Please use medication under the guidance of a doctor)


How to completely cure vaginitis?
There are many causes of vaginitis, and the treatments vary depending on the type. For fungal vaginitis, which is prone to recurrence, there are both simple and recurrent forms. Simple fungal vaginitis can be treated with medication over two treatment courses, whereas recurrent fungal vaginitis requires longer treatment, needing 3-6 months to heal completely. For trichomonal vaginitis, it is necessary to complete a course of medication, then stop the medication for a week before re-examination. If two consecutive re-examinations are negative, it indicates that the trichomonal vaginitis is cured. For bacterial vaginitis, after it is cured, probiotics must be placed in the vagina. As long as the probiotics proliferate normally, the bacterial vaginitis will also be cured. However, most bacterial vaginitis is caused by frequent sexual activity and relationships within the vagina, so it is essential to change these unhealthy lifestyle habits.