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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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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Has bacterial vaginitis that doesn't smell gone away?

Bacterial vaginosis often does not have an abnormal smell when it is likely improving. Bacterial vaginosis occurs due to a change in the pH level of the vagina, which disrupts the microecological balance, leading to mixed infections. These infections can result in an increase in vaginal discharge and itching in the vulva, although these symptoms are often not very obvious. However, a fishy odor of the discharge is a typical characteristic of this condition. After treatment for bacterial vaginosis, the disappearance of the unpleasant fishy smell indicates a significant improvement in symptoms. The primary treatment for bacterial vaginosis involves local medication in the vagina or oral medication, mainly using metronidazole. It is crucial to treat bacterial vaginosis promptly to prevent complications such as endometritis and pelvic inflammatory disease, which can affect women's reproductive and overall health.

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Can a minor bacterial vaginitis undergo an abortion?

It is advised not to undergo an abortion when suffering from vaginitis, as the procedure involves manipulation of the uterine cavity. If there is vaginitis, the bacteria in the vagina can ascend, leading to inflammation of the uterine lining, and potentially causing pelvic inflammatory disease, fallopian tube adhesion, obstruction, and secondary infertility. Moreover, the body is generally weaker after an abortion, making it prone to inflammatory infections. Therefore, when experiencing vaginitis, it is recommended to first carry out a routine vaginal discharge test. Based on the results of this test, appropriate treatment is generally administered for about three days. A follow-up examination of the vaginal discharge can then be conducted. If the vaginal discharge test results are normal, the abortion procedure can proceed.

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How is bacterial pneumonia treated?

Bacterial pneumonia is a common respiratory disease. After contracting it, patients often experience fever, coughing, chest pain, and chest tightness. Lung imaging can reveal exudative shadows in the lungs. So, how should bacterial pneumonia be treated? The first step is to use antibiotics to which the bacteria are sensitive, commonly including penicillins, cephalosporins, macrolides, and fluoroquinolones. Additionally, symptomatic treatment is employed, such as antipyretic analgesics for fever, cough suppressants if there is little sputum, and expectorants for thick and sticky sputum.

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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.