Which medicine is best for fungal vaginitis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 03, 2024
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For the treatment of fungal vaginitis, the main drugs include miconazole nitrate suppositories, clotrimazole-based preparations, or antifungal agents. These medications are generally very sensitive, and only a very few people with long-term fungal vaginitis may develop resistance. In such cases, it is necessary to perform a culture and drug sensitivity test. Only a minority of people require this kind of culture, and the final choice of sensitive drugs can treat the condition. For recurrent fungal vaginitis, it is necessary to strengthen the treatment and extend the course of therapy. Oral medications such as fluconazole can also be used.

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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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Symptoms of yeast vaginitis

Vaginal yeast infection, formerly known as vulvovaginal candidiasis, is a common and frequently occurring inflammatory disease of the vulva and vagina caused by Candida. Typical symptoms include itching of the vulva and vagina, with the severity of the itching varying, starting and stopping intermittently. When the itching is severe, it can cause restlessness and disrupt sleep and eating. In more severe cases of inflammation, there may also be pain during urination or intercourse. Another main symptom of this disease is an increase in vaginal discharge, which is characterized as white, thick, and either resembling curdled milk or cheese-like chunks.

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Is vaginal itching vaginalitis?

Vaginal itching is mostly caused by vaginitis, with trichomonal vaginitis and candidal vaginitis causing noticeable symptoms. It is best to visit a hospital to test vaginal discharge and determine the infectious pathogen before medicating. Candidal vaginitis can be treated with clotrimazole vaginal tablets, miconazole suppositories, and oral fluconazole and itraconazole, which are all very effective. For trichomonal vaginitis, oral treatment with metronidazole or tinidazole can be used, and metronidazole can also be placed inside the vagina. These medications should be used under the guidance of a doctor.

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What are the symptoms of yeast vaginitis?

When women suffer from candidal vaginitis, they will produce a cottage cheese-like vaginal discharge, along with intense itching of the vulva. The itching, especially severe at night, is the most intense among symptoms of vaginitis and can disrupt normal sleep. Moreover, the discharge is thick and adheres to the vaginal walls, making it difficult to expel. There can be congestion and swelling of the vulva due to the poor elasticity of the vulval skin and mucous membrane, which can lead to painful cracking during intercourse. Additionally, the infection can spread to the urethral opening and urethra, causing frequent urination and urgency in women, and it can also be transmitted to men through sexual activity.

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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.