What medicine should be taken for senile vulvitis?

Written by Zhou Yan
Geriatrics
Updated on September 06, 2024
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Senile vulvitis, also known as senile vulvar atrophy, is more common among postmenopausal women. Its main symptoms include thinning and drying of the skin, reduced elasticity and looseness, wrinkling of the epidermis, atrophy of sweat glands, reduced sebaceous gland secretion, and hair loss or sparseness. Generally, the treatment principle involves hormone supplementation to increase the vaginal resistance and the use of antibiotics to inhibit the growth of bacteria.

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Written by Yan Qiao
Obstetrics and Gynecology
1min 23sec home-news-image

What are the symptoms of vulvitis?

Vulvitis primarily manifests as itching, pain, and a burning sensation in the vulvar skin. After activities, sexual intercourse, urination, and defecation, symptoms can worsen. During the acute inflammatory phase, one might observe that the vulva is congested, swollen, and eroded, often showing scratch marks, and in severe cases, ulcers or eczema may form. In chronic inflammation, examination may reveal thickened, rough, and cracked vulvar skin, which might even undergo lichen-like changes. Vulvitis may be caused by pathogens or by non-infectious factors such as physical or chemical agents leading to inflammation of the vulvar skin or mucous membrane. If the condition is caused by pathogens, active anti-inflammatory treatment is necessary. However, if it is triggered by non-infectious factors, one should actively identify and eliminate the underlying cause and improve local hygiene. For instance, in the case of diabetic patients, it is crucial to treat the condition promptly and control blood sugar levels. If there is fistula formation, such as urinary or fecal fistulas, timely repair should be done to eliminate the cause of the disease, allowing it to naturally heal on its own.

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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 Zhao Li Li
Obstetrics
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Does vulvitis affect pregnancy?

If inflammation of the vulva is found after pregnancy, it generally does not affect the normal pregnancy and the development of the embryo. Vulvar inflammation is often caused by long-term stimulation by excessive vaginal secretions. In such cases, it is necessary to promptly and thoroughly wash and care for the vulvar area, or take sitz baths to alleviate symptoms. It is also important to keep the vulvar area clean and dry, avoid using panty liners, wear cotton underwear, and maintain personal hygiene to reduce the occurrence of vulvar inflammation.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to Treat Nonspecific Vulvitis

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 Zhu Hua
Obstetrics and Gynecology
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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.