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He Jing
Obstetrics and Gynecology
About me
Graduated from the Clinical Medicine Department of Wanbei Medical College in 2001, has been engaged in obstetrics and gynecology medical work for more than ten years, with a high level of diagnosis and treatment in pathological obstetrics, and has published several professional articles.
Proficient in diseases
Proficient in open and laparoscopic minimally invasive surgeries for uterine fibroids and ovarian tumors, as well as hysteroscopic surgeries for submucosal fibroids, endometrial polyps, etc.
Voices
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.
Is fungal vaginitis related to syphilis?
Yeast vaginitis and syphilis are unrelated. Yeast vaginitis is caused by a disruption in the vaginal environment leading to an infection with Candida albicans, resulting in increased vaginal discharge. This is accompanied by itching of the vulva and the discharge may appear like cottage cheese or have a curd-like texture. However, syphilis is caused by the infection of the bacterium Treponema pallidum. It is a sexually transmitted disease characterized primarily by painless ulcers on the genitals. The treatment methods for the two are also different. Yeast vaginitis can be treated by external washing with baking soda and inserting clotrimazole vaginal suppositories, typically resolving within about a week. Treatment for syphilis, on the other hand, generally involves intravenous injections of penicillin. (Medication use should be supervised by a professional doctor.)
Can a minor bacterial vaginitis undergo an abortion?
It is advised not to undergo an abortion when suffering from vaginitis, as the procedure involves manipulation of the uterine cavity. If there is vaginitis, the bacteria in the vagina can ascend, leading to inflammation of the uterine lining, and potentially causing pelvic inflammatory disease, fallopian tube adhesion, obstruction, and secondary infertility. Moreover, the body is generally weaker after an abortion, making it prone to inflammatory infections. Therefore, when experiencing vaginitis, it is recommended to first carry out a routine vaginal discharge test. Based on the results of this test, appropriate treatment is generally administered for about three days. A follow-up examination of the vaginal discharge can then be conducted. If the vaginal discharge test results are normal, the abortion procedure can proceed.
Can bacterial vaginitis be treated during menstruation?
Bacterial vaginitis can only be treated with oral metronidazole during menstruation, and external genitalia can be cleaned with a wash, but vaginal suppositories cannot be used during bleeding periods to avoid causing infections. However, the standard treatment for bacterial vaginitis is recommended to better start after the menstruation ends. At that time, you can choose the appropriate external washes and vaginal suppositories for combined treatment, which will be more effective. During the treatment, avoid intercourse, frequently change underwear, maintain genital hygiene, avoid wearing tight clothing, consume fresh vegetables and fruits, exercise more, and enhance resistance.
Does bacterial vaginitis have any relation to cervical cancer?
Bacterial vaginosis is not closely related to cervical cancer. Bacterial vaginosis is caused by an imbalance of vaginal flora, leading to an increase in vaginal discharge, which can have a fishy odor and be thin and watery. This condition can be diagnosed through routine vaginal discharge tests. Subsequent treatment, under a doctor’s guidance, may include the oral administration of metronidazole. During treatment, it is advised to avoid sexual intercourse to prevent impacting the effectiveness of the treatment. The development of cervical cancer is mostly related to prolonged infection with high-risk HPV viruses, or factors such as early sexual activity, multiple sexual partners, and unhygienic sexual practices. Generally, it is not significantly related to the presence of vaginal inflammation. (Please follow medical advice when using medication.)
What should I do if bacterial vaginitis has a fishy odor?
The normal vaginal flora is dominated by lactobacillus. If the pH in the vagina increases, this can disrupt the vaginal microecology, and the excessive growth of other microorganisms can lead to bacterial vaginosis, accompanied by an increase in vaginal discharge and a foul odor. Initially, a routine vaginal discharge test can be conducted. If the test indicates the presence of clue cells, a definitive diagnosis can be made. In the treatment process, oral metronidazole is primarily used as it is effective for symptomatic treatment. Alternatively, metronidazole suppositories can be used locally for symptom relief, typically curing the condition in about a week. During treatment, avoid sexual intercourse, wearing tight clothing or long-term use of panty liners, as these can interfere with treatment effectiveness. (Please use medications under the guidance of a doctor.)
Why is there tofu-like discharge in bacterial vaginitis?
Bacterial vaginitis may have cottage cheese-like discharge, which requires consideration of bacterial and fungal co-infection. It is advisable to visit a hospital for routine vaginal discharge tests. If these tests indicate the presence of fungi, the diagnosis can be confirmed as fungal vaginitis with a concurrent bacterial infection. Therefore, the appearance of the discharge may change to resemble cottage cheese, but at this point, treatment becomes complicated as it requires addressing both bacterial vaginitis and fungal vaginitis simultaneously. The treatment methods for these two conditions are actually opposite. Under a doctor's guidance, considering vaginal insertions of nifuratel-nystatin capsules for symptomatic treatment may be advisable. Observing the treatment response or, if the effect is not apparent, considering treating the fungal infection first, followed by the bacterial infection.