Treatment methods for vulvitis

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 19, 2024
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Simple vulvitis is not very common, and the occurrence of vulvitis should be based on the type of infection causing it. It is advisable to routinely conduct an examination of secretions, perform bacteriological tests, and classify the inflammation. If there are no symptoms in the vagina and the secretions are normal, simple vulvitis can be alleviated by using cleansing solutions to wash the area. There are various broad-spectrum cleansing solutions to choose from. Additionally, it is important to avoid wearing tight pants that may cause friction and to keep the vulva clean and dry, frequently changing underwear.

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Written by Yan Qiao
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Complications of vulvitis

For patients with vulvitis, the main complications are the formation of vulvar ulcers or eczema. In chronic inflammation, the skin of the vulva may become thickened, rough, or cracked, and even undergo lichen-like changes. In severe cases, the condition may cause fever and other systemic symptoms, and even lead to enlargement of the inguinal lymph nodes. Furthermore, vulvitis and its pathogens might spread upwards, causing an onset of pelvic inflammatory disease.

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Written by Wang Jing Hua
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Does vulvitis require antibiotics?

Whether to take anti-inflammatory drugs for vulvitis depends on whether it is combined with vaginal inflammation. Simple vulvitis is generally treated with washing or sitz baths, or topical application of medicine to the vulva, and it is not advisable to take anti-inflammatory drugs recklessly. The misuse of anti-inflammatory drugs can have a significant impact on the body, potentially affecting future overall health. The use of anti-inflammatory drugs must be under the guidance of a doctor. For vulvitis, it is common to first conduct an examination of secretions to rule out vaginal inflammation, and generally, local treatment is sufficient. (Specific medication use should be conducted under the guidance of a doctor; do not self-medicate.)

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Candidal vulvovaginitis is caused by what?

Streptococcal vulvitis is an inflammation of the vulva caused by streptococci. The primary reasons for this condition are as follows: Firstly, inadequate hygiene; secondly, improper use of antibiotics, such as overuse, long-term use, or use of cleansers; thirdly, transmission through sexual activity, such as when one partner in a couple has a streptococcal vulvitis infection and transmits it to the other; fourthly, a decrease in immune resistance, such as in patients with diabetes or those undergoing chemotherapy for cancer; and fifthly, in patients with injuries to the vulva.

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Written by Zhu Hua
Obstetrics and Gynecology
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How to treat vulvar ulceration caused by fungal vaginitis?

Candidal vulvovaginitis is caused by Candida albicans. When it occurs, it can cause edema of the vulvar and vaginal mucosa. Gynecological examinations can also reveal hyperemia and edema of the vulva. However, the main symptoms of candidal vulvovaginitis are itching and burning pain. When the itching and burning pain are severe, scratching may occur, and in serious cases, you can see cracked skin, forming some acute erosions and superficial ulcers. When encountering vulvar ulcers, do not panic. You can use traditional Chinese medicine washes for external cleansing, which helps in anti-inflammatory and disinfection. At the same time, use antifungal ointment for external application; after a period, the ulcerated area will gradually improve.

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Written by Luo Chun Yan
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How can women determine if they have vulvitis?

To determine if they have vulvitis, women mainly rely on their own symptoms. Common symptoms of vulvitis include itching around the vulva, stinging pain, significant discomfort when urinating that irritates the skin of the vulva, increased vaginal discharge often accompanied by an unusual odor, and possible swelling and pain of the vulvar skin. If one suspects they have vulvitis, they can generally feel the discomfort themselves. To prevent vulvitis, it is important to maintain cleanliness and dryness of the vulvar area. Regularly changing underwear, wearing loose cotton underwear, and avoiding non-breathable synthetic fabrics are advisable. If there is noticeable itching or pain in the vulva, or if the skin in the area feels damp, it is important to seek medical advice promptly for appropriate treatment.