How to treat vulvar ulceration caused by fungal vaginitis?

Written by Zhu Hua
Obstetrics and Gynecology
Updated on December 10, 2024
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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 Xu Xiao Ming
Obstetrics and Gynecology
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Can vulvar inflammatory swellings heal by themselves?

If the vulva has only developed an inflammatory lump, it can be cured because as the inflammation subsides, the lump may gradually shrink and fall off. However, it is crucial to determine whether a vulvar lump is inflammatory or malignant. Therefore, patients with vulvar lumps may need to have a biopsy of the vulvar tissue sent to the pathology department to determine its origin. For inflammatory lumps, topical application of erythromycin ointment can be used; it can heal on its own. (Please use medication under the guidance of a doctor.)

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can vaginitis be detected through a vaginal discharge test?

Vulvitis can generally be detected by examining the vaginal discharge. Normally, vaginal discharge is clear, transparent, odorless, and minimal which is considered normal. The majority of cases of vulvitis and vaginitis are due to abnormal secretions. At this time, a definitive diagnosis can be made through the analysis of these secretions. Usually, a routine secretion test at a hospital is sufficient. If the secretion is abnormal, treatment can be based on the type of infection indicated by the routine test results. Thus, most cases of vulvitis can be diagnosed through routine vaginal discharge tests. Patients with vulvitis generally improve after a week of treatment and should pay attention to vulvar hygiene after recovery to prevent infection.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Treatment methods for vulvitis

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
Obstetrics and Gynecology
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What are the symptoms of vulvitis?

Vulvitis primarily manifests as itching, pain, and a burning sensation in the vulvar skin. After activities, sexual intercourse, urination, and defecation, symptoms can worsen. During the acute inflammatory phase, one might observe that the vulva is congested, swollen, and eroded, often showing scratch marks, and in severe cases, ulcers or eczema may form. In chronic inflammation, examination may reveal thickened, rough, and cracked vulvar skin, which might even undergo lichen-like changes. Vulvitis may be caused by pathogens or by non-infectious factors such as physical or chemical agents leading to inflammation of the vulvar skin or mucous membrane. If the condition is caused by pathogens, active anti-inflammatory treatment is necessary. However, if it is triggered by non-infectious factors, one should actively identify and eliminate the underlying cause and improve local hygiene. For instance, in the case of diabetic patients, it is crucial to treat the condition promptly and control blood sugar levels. If there is fistula formation, such as urinary or fecal fistulas, timely repair should be done to eliminate the cause of the disease, allowing it to naturally heal on its own.

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Written by Jia Rui
Obstetrics and Gynecology
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How to deal with vulvar inflammation?

When inflammation and swelling of the vulva occur, it is essential to pay attention to personal hygiene and wash with clean water after defecation. The secretions of the vulva are acidic and contain normal flora, which helps prevent bacterial infections. Avoid frequently washing the vulva with medications or other washes. In cases of vulvar inflammation, it is advisable to wear breathable cotton underwear to avoid wearing too tight underwear and to use anti-inflammatory ointments to treat swelling. Furthermore, women experiencing this condition should avoid foods that can cause irritation and inflammation of the genitals, such as soft-shelled turtles, crabs, chicken, goose, lamb, etc., and should also avoid spicy and irritating foods.