Symptoms of senile vaginitis

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 24, 2024
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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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How to treat vaginitis with medication

Vaginitis can be treated with oral medication and vaginal medication. For trichomoniasis vaginitis and yeast vaginitis, vaginal medications are quite effective, but these types can also be treated with oral medications. If it is bacterial vaginitis, it is best to use oral medication. Vaginitis is mainly related to sexual activity, so it is essential to maintain hygiene during sexual activity. It is important to wear breathable, cotton underwear and to expose sanitary products to sunlight to reduce the occurrence of vaginitis. It is advisable to have a steady sexual partner and avoid frequent sexual activity; generally, two to three times a week is most suitable.

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Symptoms of postmenopausal bacterial vaginitis

If a patient in menopause has bacterial vaginosis, the typical symptoms are itching in the vagina, local discomfort, and there may be a foul odor and increased discharge, with the secretions becoming more abundant. It is recommended that patients with these symptoms promptly visit a hospital to check their vaginal discharge to determine if they have bacterial vaginosis and identify the pathogen causing it. This way, targeted treatment measures can be adopted, and appropriate medication can be administered. Therefore, it is advised that such patients should seek medical consultation and examination at a hospital. (The use of medication should be under the guidance of a doctor.)

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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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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.

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What are the symptoms of trichomonal and fungal vaginitis?

Trichomonal vaginitis primarily presents with symptoms such as vulvar itching, yellow purulent vaginal discharge, and a foul odor; severe cases can cause vaginal congestion and edema. If it is candidal vaginitis, the main symptom is severe vulvar itching, sometimes accompanied by vulvar edema. Scratching may reveal scratch marks on the vulva. The discharge in this type of vaginitis typically resembles cottage cheese and usually does not have an odor, but a foul smell may occur if there is a bacterial co-infection. In terms of treatment, these two types of vaginitis require different approaches. Trichomonal vaginitis can be treated with metronidazole or tinidazole, whereas candidal vaginitis can be treated with clotrimazole vaginal tablets. (Specific medications should be used under the guidance of a physician.)