Is bacterial vaginosis serious?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 29, 2024
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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 Zhang Yin Xing
Obstetrics
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What should I do if I get vaginitis during pregnancy?

Vaginitis during pregnancy should be actively treated, generally choosing vaginal medications. Vaginal medications typically do not enter the bloodstream and are not absorbed by the fetus, thus not affecting the growth and development of the fetus. Vaginitis during pregnancy can lead to chorioamnionitis, and intrauterine infection of the fetus may lead to premature rupture of membranes, subsequently causing preterm birth or miscarriage. During pregnancy, the vaginal environment undergoes changes. There is an increase in the number of vaginal epithelial cells and secretions, which appear as white, paste-like substances. The glycogen level in the vaginal epithelial cells rises, the lactic acid content increases, and the pH decreases, making it prone to fungal vaginitis. However, this environment is unfavorable for the growth of other pathogenic bacteria and is beneficial in preventing bacterial infections.

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Written by Li Shun Hua
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How is vaginitis treated?

If you get vaginitis, you should first go to the hospital to have a vaginal discharge test, because there are many types of vaginitis, and the treatment methods and medications vary. Therefore, it is necessary to identify the pathogen causing the vaginitis before medicating. Treatment can include both topical and oral medications. For trichomonal vaginitis, metronidazole can be used, both topically and orally. For fungal vaginitis, clotrimazole vaginal tablets can be used topically, or fluconazole can be taken orally. Bacterial vaginitis requires the use of antibiotics for treatment.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How long does it take for acute vaginitis to heal?

Acute vaginitis is primarily characterized by purulent discharge or cottage cheese-like discharge, with patients experiencing severe itching in the vulva. Additionally, some may feel a contracting sensation during urination; these are all manifestations of acute vaginitis. The treatment duration for acute vaginitis generally requires seven days, so most can be cured after completing one treatment course. Some individuals might still experience symptoms after one course of medication and may need two courses. Common types of acute vaginitis include yeast vaginitis, bacterial vaginitis, and trichomonal vaginitis. These types of vaginitis must be treated promptly when they acutely manifest to avoid progressing to chronic vaginitis, which is more problematic to treat.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Symptoms of senile vaginitis

Senile vaginitis mainly occurs in women after natural menopause or surgical menopause. The main symptom is an increase in vaginal discharge, which can be a thin, yellow fluid, and some women may also have purulent white discharge. Due to the thinning and decreased elasticity of the vaginal mucosa, women may experience pain during sexual intercourse. Often, there can be a burning sensation or itching in the vulva, and these symptoms can be exacerbated by friction while walking. Additionally, some women, due to decreased estrogen levels, suffer from reduced elasticity of the vaginal walls, leading to the formation of ulcers. Sometimes, adhesions can occur between the anterior and posterior vaginal walls due to the ulcers, preventing the drainage of pus from the vagina or uterine cavity, causing symptoms like a heavy feeling and pain in the lower abdomen.

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What is vaginal inflammation during pregnancy?

Due to the increase in body weight and the rapid rise in hormone levels during pregnancy, pregnant women are prone to vaginitis, and the risk of infection may also significantly increase. The three more common types of vaginitis include trichomoniasis, vulvovaginal candidiasis, and bacterial vaginosis. The presence of these three types of vaginitis can manifest as an increase in vaginal discharge accompanied by vulvar itching. Specific tests for vaginitis are needed based on the characteristics of the vaginal discharge and the results of the vaginitis tests, to determine the specific type of vaginitis and treat accordingly based on the type.