How to treat pain during urination caused by bacterial vaginitis?

Written by Ding Ying Bo
Obstetrics and Gynecology
Updated on September 12, 2024
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Bacterial vaginitis refers to when the pathogen in the vagina is Gardnerella and is associated with a disruption of the vaginal flora. This can result in an increased amount of discharge, with a foul odor. An increased amount of vaginal discharge can irritate the vulva, leading to severe vulvitis, and possibly cause pain during urination. If pain during urination is accompanied by urinary urgency and frequency, it should be considered that there might be a urinary tract infection, and a urinalysis could be conducted. If a urinary tract infection is confirmed, it is necessary to drink more water, urinate more frequently, and take oral levofloxacin. If tests confirm that there is no urinary tract infection and the symptoms are only due to local irritation, using a 1:5000 potassium permanganate sitz bath daily for 15 minutes can significantly alleviate the pain during urination. Additionally, systemic medication should be administered to treat bacterial vaginitis. Only after the vaginitis is cured, which would significantly reduce the discharge, can the vulvitis and pain during urination be relieved. (Medication should be administered under the guidance of a physician.)

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Written by He Jing
Obstetrics and Gynecology
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Can bacterial vaginitis be treated during menstruation?

Bacterial vaginitis can only be treated with oral metronidazole during menstruation, and external genitalia can be cleaned with a wash, but vaginal suppositories cannot be used during bleeding periods to avoid causing infections. However, the standard treatment for bacterial vaginitis is recommended to better start after the menstruation ends. At that time, you can choose the appropriate external washes and vaginal suppositories for combined treatment, which will be more effective. During the treatment, avoid intercourse, frequently change underwear, maintain genital hygiene, avoid wearing tight clothing, consume fresh vegetables and fruits, exercise more, and enhance resistance.

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Written by He Jing
Obstetrics and Gynecology
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Why is there tofu-like discharge in bacterial vaginitis?

Bacterial vaginitis may have cottage cheese-like discharge, which requires consideration of bacterial and fungal co-infection. It is advisable to visit a hospital for routine vaginal discharge tests. If these tests indicate the presence of fungi, the diagnosis can be confirmed as fungal vaginitis with a concurrent bacterial infection. Therefore, the appearance of the discharge may change to resemble cottage cheese, but at this point, treatment becomes complicated as it requires addressing both bacterial vaginitis and fungal vaginitis simultaneously. The treatment methods for these two conditions are actually opposite. Under a doctor's guidance, considering vaginal insertions of nifuratel-nystatin capsules for symptomatic treatment may be advisable. Observing the treatment response or, if the effect is not apparent, considering treating the fungal infection first, followed by the bacterial infection.

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Written by Huang Shuai
Obstetrics and Gynecology
39sec home-news-image

Can you have children with bacterial vaginitis?

When there is a clear case of bacterial vaginosis, it is generally recommended to cure it before planning to conceive a child. This is mainly because, if one becomes pregnant while having bacterial vaginosis, it may increase the risk of miscarriage or premature birth. This is primarily due to the fact that bacterial vaginosis can lead to an increase in inflammatory substances in the vagina or cervix. The increase in inflammatory cells can easily stimulate contractions, thus leading to the risks of miscarriage, premature birth, and an increased risk of premature rupture of membranes. Therefore, it is generally advised to first cure the vaginitis before planning a pregnancy.

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Written by Ding Ying Bo
Obstetrics and Gynecology
1min 16sec home-news-image

Does bacterial vaginitis affect menstruation?

Most bacterial vaginitis has no significant effect on menstruation. Because when women have bacterial vaginitis, it does not affect the ovarian secretion of estrogen, so it does not affect menstruation. Sometimes women develop bacterial vaginitis before menstruation and choose vaginal medication. Because the endometrial lining is relatively thick and menstruation is approaching, local medication may cause irritation, leading to the shedding of the endometrium. This is caused by local medication stimulation, not by affecting women's menstruation. Most cases of bacterial vaginitis are likely to recur after menstruation is over, so it is recommended that women undergo consolidation treatment for bacterial vaginitis after their periods are clean. In some women with bacterial vaginitis, particularly those with poor immunity, it might lead to acute cervicitis, and potentially further develop into endometritis. These conditions may cause women to experience prolonged menstrual bleeding, although this is relatively rare.

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Written by Huang Shuai
Obstetrics and Gynecology
40sec home-news-image

How long does it take to recover from bacterial vaginitis?

When bacterial vaginosis occurs, we use different medications to treat it, and the duration of treatment varies. However, most current treatment plans typically span a seven-day course. Generally, after one course of treatment, most cases of bacterial vaginosis can return to normal. However, there are some more persistent cases of bacterial vaginosis. It's possible that the initial treatment plan chosen may be ineffective, and it might be necessary to change treatment plans to address the condition. Therefore, overall, for most cases of bacterial vaginosis, a typical treatment course of seven days usually leads to recovery.