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Ding Ying Bo
Obstetrics and Gynecology
About me
In 1993, graduated from Qingdao Medical College with a major in Clinical Medicine and has been working in the field of Obstetrics and Gynecology for more than twenty years.
Proficient in diseases
Diagnosis and Treatment of Common Gynecological Diseases
Voices
Does bacterial vaginitis affect menstruation?
Most bacterial vaginitis has no significant effect on menstruation. Because when women have bacterial vaginitis, it does not affect the ovarian secretion of estrogen, so it does not affect menstruation. Sometimes women develop bacterial vaginitis before menstruation and choose vaginal medication. Because the endometrial lining is relatively thick and menstruation is approaching, local medication may cause irritation, leading to the shedding of the endometrium. This is caused by local medication stimulation, not by affecting women's menstruation. Most cases of bacterial vaginitis are likely to recur after menstruation is over, so it is recommended that women undergo consolidation treatment for bacterial vaginitis after their periods are clean. In some women with bacterial vaginitis, particularly those with poor immunity, it might lead to acute cervicitis, and potentially further develop into endometritis. These conditions may cause women to experience prolonged menstrual bleeding, although this is relatively rare.
Brown vaginal discharge and breast pain, is it pregnancy?
Brown vaginal discharge and breast tenderness, if occurring after a delayed period, especially when effective contraceptives have not been used, may indicate early signs of pregnancy. This is because a low level of progesterone after conception can lead to a threatened miscarriage, manifesting as brown discharge. Moreover, following conception, a rapid rise in estrogen and progesterone levels in the body can stimulate the breasts, causing tenderness and pain. However, brown discharge and breast tenderness can also occur just before menstruation begins, as the endometrium thickens and hormonal fluctuations can lead to shedding. Thus, the presence of brown discharge and premenstrual breast tenderness, coupled with a noticeable increase in progesterone levels, can also stimulate the mammary ducts, resulting in breast pain. Therefore, it is difficult to determine based on symptoms alone whether the manifestations are due to a delay in menstruation or early pregnancy. A hospital laboratory test is necessary to confirm, generally advocating for an HCG test as it is the most accurate for confirming pregnancy and can determine with near 100% certainty, with little room for error.
How to treat pain during urination caused by bacterial vaginitis?
Bacterial vaginitis refers to when the pathogen in the vagina is Gardnerella and is associated with a disruption of the vaginal flora. This can result in an increased amount of discharge, with a foul odor. An increased amount of vaginal discharge can irritate the vulva, leading to severe vulvitis, and possibly cause pain during urination. If pain during urination is accompanied by urinary urgency and frequency, it should be considered that there might be a urinary tract infection, and a urinalysis could be conducted. If a urinary tract infection is confirmed, it is necessary to drink more water, urinate more frequently, and take oral levofloxacin. If tests confirm that there is no urinary tract infection and the symptoms are only due to local irritation, using a 1:5000 potassium permanganate sitz bath daily for 15 minutes can significantly alleviate the pain during urination. Additionally, systemic medication should be administered to treat bacterial vaginitis. Only after the vaginitis is cured, which would significantly reduce the discharge, can the vulvitis and pain during urination be relieved. (Medication should be administered under the guidance of a physician.)
Why does bacterial vaginitis turn into fungal vaginitis?
Women with bacterial vaginitis need to be treated with metronidazole, which can be either taken orally or applied as metronidazole vaginal effervescent tablets. Some women may experience recurrent bacterial vaginitis, which leads to a longer duration of medication use, potentially causing an imbalance in the vaginal flora. Yeast naturally exists in the vagina, but the environment is usually stable due to the predominance of lactobacillus, which inhibits the growth of yeast. However, if the treatment period for vaginitis is extended, it can disrupt the vaginal environment, reduce the amount of lactobacillus, and consequently, yeast can proliferate and lead to yeast-based vaginitis.