Symptoms of postmenopausal bacterial vaginitis

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on September 22, 2024
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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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The Harm of Candidal Vaginitis

The harm of yeast vaginitis manifests as severe itching of the vulva, which can significantly affect a patient's daily life. Therefore, yeast vaginitis has a substantial impact on the body, affecting work and studies, and must be actively treated. Clinically, yeast vaginitis presents with curd-like or cottage cheese-like vaginal discharge, which is itchy but odorless. At this time, treatment requires going to a hospital to obtain a secretion sample for testing. After confirming the diagnosis of yeast vaginitis, appropriate medication is selected based on the test results to treat the condition symptomatically. If not treated actively, yeast vaginitis may recur around the time of the next menstrual period and can worsen before and after menstruation. Thus, it is crucial to actively seek symptomatic treatment for yeast vaginitis.

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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.

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What causes vaginitis?

The most common cause of vaginitis is due to sexual activity because sexual intercourse can cause changes in the pH level of the vagina, leading to a reduction in local resistance and the proliferation of pathogens. This can result in various types of vaginitis, such as fungal vaginitis, trichomonal vaginitis, and bacterial vaginitis, all of which are related to sexual activity. Therefore, it is essential to maintain hygiene during sexual activities, have a fixed sexual partner, maintain good lifestyle habits, avoid overwork and staying up late, as a stronger immune system can also reduce the likelihood of contracting vaginitis.

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What is the best medicine for vaginitis?

What kind of medicine is best for vaginal inflammation depends primarily on the type of bacteria causing the infection and the nature of the vaginal inflammation. Since different bacteria cause different clinical symptoms, the treatment and medications vary accordingly. Generally, if the treatment is symptomatic, whether using common medications or specific ones, it will certainly be effective as long as it matches the symptoms. If treatment is not based on the correct diagnosis, and medication is used blindly without a clear diagnosis of vaginal inflammation, this will definitely not be appropriate. Generally, in cases of trichomonas infection, the vaginal discharge appears watery and has a foul smell, and treatment must be specifically targeted against trichomonas infection. If the discharge is curdy or cheese-like, these are typical symptoms of fungal vaginitis, and treatment must be conducted with effective medications specifically for fungal infections. Therefore, the type of medication for vaginal inflammation must be determined after an examination and based on the results, appropriate treatment should be administered.

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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.