How to treat senile vulvitis

Written by Zhou Yan

Geriatrics

Updated on September 12, 2024

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Senile vulvitis refers to an inflammatory disease of the vulva in elderly women caused by decreased hormone levels. Common symptoms include itching or discomfort of the vulva, increased skin folds in the vulva, reduced sebaceous glands, and hair loss or thinning of the skin. For treatment, certain estrogens can be administered to increase resistance. Additionally, treatments that inhibit bacterial growth and local use of antibiotics can be provided. (Specific medications should be used under the guidance of a physician.)

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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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Does vulvar eczema belong to vulvitis?

Vulvar eczema and vulvitis are not the same disease; they are different from each other. Vulvar eczema is mainly caused by contact with allergens, such as dampness in the genital area, or new underwear and sanitary napkins, leading to itching and rashes on the vulva. It is an allergic reaction, and the treatment is primarily focused on anti-allergy therapy. On the other hand, vulvitis is caused by bacterial, fungal, or viral infections. The local symptoms of vulvitis can be similar to those of vulvar eczema, but the treatment mainly focuses on anti-infection therapy.

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What medicine should be taken for senile vulvitis?

Senile vulvitis, also known as senile vulvar atrophy, is more common among postmenopausal women. Its main symptoms include thinning and drying of the skin, reduced elasticity and looseness, wrinkling of the epidermis, atrophy of sweat glands, reduced sebaceous gland secretion, and hair loss or sparseness. Generally, the treatment principle involves hormone supplementation to increase the vaginal resistance and the use of antibiotics to inhibit the growth of bacteria.

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Does vulvitis cause an abnormal odor in vaginal discharge?

Vulvitis generally results in abnormal vaginal discharge, primarily characterized by abnormal secretions causing itching and odor in the vulva. Normally, vaginal discharge in women is clear, transparent, odorless, and minimal, which is considered normal. If the discharge has an odor, it most commonly suggests a bacterial infection or a trichomonas infection. In cases of trichomonas infection, the discharge typically has a fishy smell, is watery, and accompanied by itching, leading to vulvitis reactions. At this point, a secretion test at the hospital can be conducted, followed by targeted treatment based on the test results. Furthermore, bacterial vaginitis can also present with odorous discharge. This condition typically involves yellow, thick, abundant discharge, and vulval itching. Treatment can then be tailored based on examination results, selecting appropriate topical medications. (Medication should be used under the guidance of a doctor.)

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How to Treat Nonspecific Vulvitis

When women suffer from nonspecific vulvitis, the first step is to identify the causes of the nonspecific vulvitis and provide symptomatic treatment. For example, some women have diabetes, where an increase in local blood sugar levels can lead to this condition, and diabetes should be actively treated. Afterwards, diluted iodine solutions can be used for sitz bath treatments, which not only have a local antibacterial effect but also a local thermotherapy effect, which can promote the absorption of inflammation. Women can also take broad-spectrum antibiotics orally, or apply ointments containing antibiotics locally for treatment. Additionally, women should pay close attention to their clothing; for example, it is best to wear loose, all-cotton underwear to prevent friction and local skin lesions.