What is the best treatment for vulvitis?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 01, 2024
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Simple vulvitis requires attention to personal hygiene. Use gynecological antipyretic and dampness-clearing washes for local cleansing to achieve a cleaning and disinfection effect. Also, wear loose, breathable, cotton underwear, and avoid wearing tight outer clothing. If it is during the menstrual period, change sanitary napkins frequently. Avoid intercourse during the illness. Generally, with active treatment, it can be cured. If the vulvitis is accompanied by other conditions such as vaginitis, urethritis, perianal abscess, or perianal diseases, then active treatment of the primary disease is required while treating the vulvitis.

Other Voices

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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.)

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can vaginitis be detected through a vaginal discharge test?

Vulvitis can generally be detected by examining the vaginal discharge. Normally, vaginal discharge is clear, transparent, odorless, and minimal which is considered normal. The majority of cases of vulvitis and vaginitis are due to abnormal secretions. At this time, a definitive diagnosis can be made through the analysis of these secretions. Usually, a routine secretion test at a hospital is sufficient. If the secretion is abnormal, treatment can be based on the type of infection indicated by the routine test results. Thus, most cases of vulvitis can be diagnosed through routine vaginal discharge tests. Patients with vulvitis generally improve after a week of treatment and should pay attention to vulvar hygiene after recovery to prevent infection.

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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 Zhou Yan
Geriatrics
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How to treat senile vulvitis

Senile vulvitis refers to an inflammatory disease of the vulva in elderly women caused by decreased hormone levels. Common symptoms include itching or discomfort of the vulva, increased skin folds in the vulva, reduced sebaceous glands, and hair loss or thinning of the skin. For treatment, certain estrogens can be administered to increase resistance. Additionally, treatments that inhibit bacterial growth and local use of antibiotics can be provided. (Specific medications should be used under the guidance of a physician.)

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Written by Shen Li Wen
Obstetrics and Gynecology
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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.