What are the medicines for treating vaginitis?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 25, 2024
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There are many medications for treating vaginitis, but there are also many types of vaginitis, and the medication course and treatment methods vary for different types. If one contracts vaginitis, it is necessary to go to the hospital promptly for tests on vaginal discharge to identify the pathogen before starting medication. For trichomoniasis vaginitis, oral metronidazole or tinidazole can be used for treatment. For fungal vaginitis, clotrimazole vaginal tablets can be inserted, or oral itraconazole or fluconazole can be taken. For bacterial vaginitis, oral clindamycin can be used, or metronidazole can be administered. Treatment should be based on the specific pathogen, enabling quick recovery from vaginitis. Note: Medications should be used under the guidance of a doctor.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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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Written by Li Shun Hua
Obstetrics and Gynecology
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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.)

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What should I do if I have vaginitis?

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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How to completely cure vaginitis?

There are many causes of vaginitis, and the treatments vary depending on the type. For fungal vaginitis, which is prone to recurrence, there are both simple and recurrent forms. Simple fungal vaginitis can be treated with medication over two treatment courses, whereas recurrent fungal vaginitis requires longer treatment, needing 3-6 months to heal completely. For trichomonal vaginitis, it is necessary to complete a course of medication, then stop the medication for a week before re-examination. If two consecutive re-examinations are negative, it indicates that the trichomonal vaginitis is cured. For bacterial vaginitis, after it is cured, probiotics must be placed in the vagina. As long as the probiotics proliferate normally, the bacterial vaginitis will also be cured. However, most bacterial vaginitis is caused by frequent sexual activity and relationships within the vagina, so it is essential to change these unhealthy lifestyle habits.

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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.