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.