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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Obstetrics and Gynecology
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What are the symptoms of vulvitis?

Patients with vulvitis mainly exhibit symptoms such as itching, pain, or a burning sensation, along with swelling and bleeding of the vulva. If not treated promptly, it can lead to erosion or extensive eczema. Additionally, vulvitis can cause intense pain and urinary pain after sexual intercourse. Patients should use antibacterial and anti-inflammatory medications for treatment. Furthermore, choosing cleansing solutions to maintain cleanliness of the affected area and avoiding spicy and irritating foods in daily life is advisable.

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How to treat vulvar ulceration caused by fungal vaginitis?

Candidal vulvovaginitis is caused by Candida albicans. When it occurs, it can cause edema of the vulvar and vaginal mucosa. Gynecological examinations can also reveal hyperemia and edema of the vulva. However, the main symptoms of candidal vulvovaginitis are itching and burning pain. When the itching and burning pain are severe, scratching may occur, and in serious cases, you can see cracked skin, forming some acute erosions and superficial ulcers. When encountering vulvar ulcers, do not panic. You can use traditional Chinese medicine washes for external cleansing, which helps in anti-inflammatory and disinfection. At the same time, use antifungal ointment for external application; after a period, the ulcerated area will gradually improve.

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Written by Su Wen
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How many days can vulvitis be cured?

Vulvitis is caused by irritation from menstrual blood and vaginal secretions, or lack of attention to local cleanliness, among other reasons. Additionally, friction of skin and mucous membranes, local moisture, and poor breathability can lead to itching, pain, and burning sensations in the vulvar skin and mucous membranes. In the acute phase, there may be congestion, swelling, and erosion seen in the vulva, sometimes with scratch marks. The general treatment principle is to eliminate the cause, improve local hygiene, and keep the vulvar area clean and dry. Clean the vulva daily and keep the area dry.

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What are the symptoms of vulvitis?

When women experience inflammation of the vulva, the clinical symptoms are generally similar. Firstly, we may observe some abnormal secretions in the vulvar area, such as purulent secretions with a foul smell, accompanied by local itching. Furthermore, when the inflammation in the female vulvar area is severe, it can lead to local skin mucosa congestion, edema, and reduced elasticity. This can cause severe pain during walking due to friction, or during intercourse due to mechanical irritation, and may even lead to painful bleeding. Additionally, in some women, the inflammation may be intense enough to form small abscesses locally, meaning small lumps may appear or small white pus spots may be present on the local area.

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Can erythromycin ointment be applied for vulvitis?

Only a few types of vulvitis might be effectively treated with erythromycin ointment application, as the treatment depends on the specific pathogen involved in the vulvitis, and not all inflammations use the same medication. First, a vaginal discharge test must be conducted, as some cases are due to yeast infections, and some are due to trichomoniasis, for which erythromycin ointment is ineffective. For instance, treatment for trichomoniasis requires both partners to simultaneously undergo treatment with oral metronidazole, otherwise, even if only the woman is treated, there is a high chance of recurrence. (Please use medications under the guidance of a doctor.)