What should I do if I have vaginitis?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 09, 2024
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Vaginitis requires a hospital examination. Because the bacteria responsible for vaginitis vary, the clinical manifestations and medications used also vary. If the vaginal discharge appears like curds or cottage cheese, it suggests yeast vaginitis, and it should be treated with medication specific for yeast infections. In the case of yeast vaginitis, if the discharge becomes watery and has a fishy smell, it generally indicates a trichomonas infection, for which medications such as metronidazole or tinidazole can be used topically. If the discharge is yellow, thick, and abundant, caused by bacteria or cervical erosion, it should be treated as bacterial vaginitis accordingly. Therefore, it is essential to have a laboratory test of the secretions at a hospital to determine the type of infection and treat it accordingly.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Best treatment plan for senile vaginitis

Senile vaginitis is primarily due to the decline in estrogen levels caused by ovarian failure and the atrophy of the vaginal mucosa, making it easier for bacterial infections to occur. The main treatment methods include the use of estrogen therapy. Estriol cream can be placed inside the vagina, or estradiol can be taken orally. These methods are very effective for treating bacterial vaginitis and senile vaginitis. Additionally, anti-inflammatory medications should be used, such as placing levofloxacin in the vagina, which also produces good results. (The use of medications should be carried out under the guidance of a doctor.)

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Written by Li Shun Hua
Obstetrics and Gynecology
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Is vaginal itching vaginalitis?

Vaginal itching is mostly caused by vaginitis, with trichomonal vaginitis and candidal vaginitis causing noticeable symptoms. It is best to visit a hospital to test vaginal discharge and determine the infectious pathogen before medicating. Candidal vaginitis can be treated with clotrimazole vaginal tablets, miconazole suppositories, and oral fluconazole and itraconazole, which are all very effective. For trichomonal vaginitis, oral treatment with metronidazole or tinidazole can be used, and metronidazole can also be placed inside the vagina. These medications should be used under the guidance of a doctor.

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Written by You Hui
Obstetrics and Gynecology
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Symptoms of yeast vaginitis

Vaginal yeast infection, formerly known as vulvovaginal candidiasis, is a common and frequently occurring inflammatory disease of the vulva and vagina caused by Candida. Typical symptoms include itching of the vulva and vagina, with the severity of the itching varying, starting and stopping intermittently. When the itching is severe, it can cause restlessness and disrupt sleep and eating. In more severe cases of inflammation, there may also be pain during urination or intercourse. Another main symptom of this disease is an increase in vaginal discharge, which is characterized as white, thick, and either resembling curdled milk or cheese-like chunks.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is bacterial vaginosis serious?

Bacterial vaginosis is not serious; it is a common disease among women. In most clinical cases, when women have vaginal inflammation, bacterial infection may occur. It is generally diagnosed through the analysis of secretions, and after confirming it is bacterial vaginosis, appropriate medication will be selected based on the test results for symptomatic treatment. It's a common condition among women, and after treatment, it is important to maintain good vulvar hygiene. If any discomfort occurs, it is crucial to visit the hospital promptly for further diagnosis and treatment. Bacterial vaginosis is easily treatable, typically showing improvement within a week of medication. If a recurrence occurs around the time of the next menstrual period, another course of treatment may be used. This disease is not serious and is commonly seen in women.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How is fungal vaginitis caused?

Common causes of candidal vulvovaginitis include long-term use of broad-spectrum antibiotics, patients with diabetes, patients who long-term use immunosuppressive drugs, wearing tight underwear, and moisture in sanitary products. All these factors can lead to the occurrence of candidal vulvovaginitis. Changing unhealthy lifestyles, stopping the use of antibiotics, actively treating diabetes, wearing breathable cotton underwear, and keeping the vulva clean can all reduce the occurrence of candidal vulvovaginitis.