What are the treatments for vaginitis?

Written by Niu Hai Jing
Obstetrics and Gynecology
Updated on April 29, 2025
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If you are confirmed to have vaginitis, you should go to the hospital for a gynecological examination, and have a vaginal discharge test. The treatment for vaginitis should be based on the results of this routine vaginal discharge test to determine the type of vaginitis and the appropriate medication. While treating vaginitis, it is important to maintain cleanliness of the vulva by keeping it clean, tidy, and dry, washing the vulva, and wearing pure cotton, loose, and well-ventilated underwear. Underwear should be frequently aired out to keep the vulva clean.

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Written by Qu Chun Yao
Obstetrics and Gynecology
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What should I do about acute vaginitis?

Acute vaginitis refers to acute inflammation caused by some kind of pathogen infection, clinically characterized by an increase in vaginal discharge and changes in the nature of the discharge. Symptoms also include itching of the vulva, a burning sensation of the vulva, pain during intercourse, and frequent urination and urgency. Acute vaginitis disrupts the female immune system and damages the reproductive system, affecting the sexual life of couples. For acute inflammation, a vaginal secretion test should be given to understand and identify the pathogen, thereby treating the pathogen specifically. If necessary, bacterial culture may be conducted, and treatment can be administered orally or applied directly to the vagina to treat the vaginitis.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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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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Written by Qu Chun Yao
Obstetrics and Gynecology
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Is fungal vaginitis serious?

Yeast vaginitis is a type of gynecological inflammation. Yeast vaginitis should be treated according to the course of treatment. If it is not treated in time, it can become very serious. Yeast vaginitis causes redness and swelling of the vaginal skin and mucous membranes. There may be itching of the vulva, vaginal discharge that appears like cottage cheese or curd-like and white. There may also be accompanying symptoms such as burning pain, pain during sexual intercourse, and pain during urination. If these symptoms occur, it is necessary to visit the hospital in time for a routine examination of the secretions to determine the type of vaginitis. If yeast vaginitis is confirmed, it needs to be treated according to the treatment course, including necessary vaginal medication or oral medication.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Symptoms of Candidal Vulvovaginitis

The main symptoms of candidal vulvovaginitis include itching and a burning sensation of the vulva. There is pain during urination, and in severe cases, swelling of the vulva can occur. Some people may scratch due to the itching, leading to breaks in the skin of the vulva, and sometimes even fissures in the vulval skin. These are symptoms of candidal vulvovaginitis. Another typical symptom is a cottage cheese-like vaginal discharge, which is seen at the vaginal opening as curdy, and is difficult to remove.

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Written by Li Shun Hua
Obstetrics and Gynecology
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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.