How to Treat Nonspecific Vulvitis

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 03, 2024
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When women suffer from nonspecific vulvitis, the first step is to identify the causes of the nonspecific vulvitis and provide symptomatic treatment. For example, some women have diabetes, where an increase in local blood sugar levels can lead to this condition, and diabetes should be actively treated. Afterwards, diluted iodine solutions can be used for sitz bath treatments, which not only have a local antibacterial effect but also a local thermotherapy effect, which can promote the absorption of inflammation. Women can also take broad-spectrum antibiotics orally, or apply ointments containing antibiotics locally for treatment. Additionally, women should pay close attention to their clothing; for example, it is best to wear loose, all-cotton underwear to prevent friction and local skin lesions.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Can vulvar inflammatory swellings heal by themselves?

If the vulva has only developed an inflammatory lump, it can be cured because as the inflammation subsides, the lump may gradually shrink and fall off. However, it is crucial to determine whether a vulvar lump is inflammatory or malignant. Therefore, patients with vulvar lumps may need to have a biopsy of the vulvar tissue sent to the pathology department to determine its origin. For inflammatory lumps, topical application of erythromycin ointment can be used; it can heal on its own. (Please use medication under the guidance of a doctor.)

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Written by Jia Rui
Obstetrics and Gynecology
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Can vulvitis heal itself?

Generally, vulvitis cannot be cured. Vulvitis is a common gynecological condition. Following vaginitis, symptoms include vulva swelling, pain, erosion, and itching, causing significant discomfort to the female body and potentially leading to other types of complications. Vulvitis is caused by infections of bacteria or viruses and requires medical treatment and care, usually not healing on its own. The treatment principle should focus on treating the primary disease, keeping the vulva clean and dry, and avoiding harmful irritations. Women with vulvitis are advised to wash the vulva daily with clean water to ensure cleanliness, wear loose cotton underwear, change and clean them regularly, and use appropriate medication for anti-inflammatory treatment.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Does vulvitis require antibiotics?

Whether to take anti-inflammatory drugs for vulvitis depends on whether it is combined with vaginal inflammation. Simple vulvitis is generally treated with washing or sitz baths, or topical application of medicine to the vulva, and it is not advisable to take anti-inflammatory drugs recklessly. The misuse of anti-inflammatory drugs can have a significant impact on the body, potentially affecting future overall health. The use of anti-inflammatory drugs must be under the guidance of a doctor. For vulvitis, it is common to first conduct an examination of secretions to rule out vaginal inflammation, and generally, local treatment is sufficient. (Specific medication use should be conducted under the guidance of a doctor; do not self-medicate.)

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Written by Jia Rui
Obstetrics and Gynecology
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Does vulvar eczema belong to vulvitis?

Vulvar eczema and vulvitis are not the same disease; they are different from each other. Vulvar eczema is mainly caused by contact with allergens, such as dampness in the genital area, or new underwear and sanitary napkins, leading to itching and rashes on the vulva. It is an allergic reaction, and the treatment is primarily focused on anti-allergy therapy. On the other hand, vulvitis is caused by bacterial, fungal, or viral infections. The local symptoms of vulvitis can be similar to those of vulvar eczema, but the treatment mainly focuses on anti-infection therapy.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can erythromycin be applied to vulvitis?

Only a minority of vulvitis cases are effectively treated with erythromycin ointment. Most cases of vulvitis are not treated with erythromycin ointment. This is because it is essential to first identify which type of infection is causing the vulvitis. Most cases of vulvitis also involve vaginitis and require initial bacteriological examination to classify the inflammation. Treatment should be selected based on this classification and target the specific type of infection. For instance, if the inflammation is due to trichomoniasis, both partners need to take oral metronidazole. If it is a fungal vaginitis, drugs like clotrimazole should be chosen. (Specific drug use should be under the guidance of a doctor.)