What should I do if I get vaginitis during pregnancy?

Written by Zhang Yin Xing
Obstetrics
Updated on December 27, 2024
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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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Written by Li Shun Hua
Obstetrics and Gynecology
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Vaginitis is caused by what?

There are many causes of vaginitis, most of which are due to sexual activity. During sexual activity, the normal environment of the vagina can be altered. The vagina contains normal bacteria and has a relatively high acidity. If there is sexual activity, the pH balance inside the vagina can change, allowing pathogenic bacteria to proliferate, thus making it easy to develop vaginitis. Additionally, poor personal hygiene can also lead to vaginitis, such as using damp sanitary products and not changing underwear promptly. Therefore, it is essential to maintain hygiene during sexual activities and to keep the external genital area clean, wearing breathable, cotton underwear.

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Written by Li Shun Hua
Obstetrics and Gynecology
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What are the medicines for treating vaginitis?

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 He Jing
Obstetrics and Gynecology
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Early symptoms of fungal vaginitis

The early symptoms of candidal vaginitis primarily manifest as an increase in vaginal discharge, accompanied by itching of the vulva, and the discharge may appear curd-like or resembling cottage cheese. Since candidal vaginitis causes noticeable itching of the vulva, which can severely affect the patient's study and daily life, it is necessary to visit a hospital for a routine vaginal discharge examination when encountering these symptoms. Once diagnosed, under the guidance of a doctor, appropriate alkaline washes can be used to cleanse the vulva, followed by the placement of clotrimazole vaginal suppositories or nystatin vaginal soft capsules for symptomatic treatment. Typically, symptomatic treatment for about a week can lead to recovery. Note that during treatment, sexual intercourse should be avoided to prevent worsening of the condition.

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Written by You Hui
Obstetrics and Gynecology
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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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Written by Gan Hai Ying
Obstetrics and Gynecology
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What should I do about yeast vaginitis?

Candidal vaginitis is an inflammation caused by a Candida infection in the vagina, leading to abnormal vaginal discharge and vulvar itching among other discomforting symptoms in women. Therefore, active treatment is generally necessary for candidal vaginitis. Fungi do not grow well in alkaline environments, thus washing the vulva with alkaline medicinal solutions can reduce symptoms of vulvar itching and aid in healing the disease. Additionally, local vaginal medications such as antifungal drugs like nystatin or clotrimazole vaginal tablets should be applied. In severe cases, oral treatment with drugs like fluconazole may also be necessary. Typically, symptoms of candidal vaginitis can be thoroughly alleviated after antifungal treatment. (Please follow medical advice regarding medication use.)