Why is there tofu-like discharge in bacterial vaginitis?

Written by He Jing
Obstetrics and Gynecology
Updated on September 02, 2024
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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.

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Written by Luo Chun Yan
Obstetrics and Gynecology
1min 5sec home-news-image

The main treatment methods for vaginitis

The primary treatment for vaginitis involves the use of local vaginal medications to improve the vaginal environment. Some cases also require oral medication for systemic treatment, but the crucial factor is identifying the type of vaginitis. For example, bacterial vaginitis can be treated primarily through oral medications, but local vaginal treatment is also an option. Yeast infections primarily involve local treatment with vaginal medications to alleviate symptoms. If there is no sexual activity and vaginal medication is unsuitable, oral medication can be used for systemic treatment. Trichomoniasis is mainly treated with oral medication for systemic treatment and should not be treated with local vaginal medications. Some types of vaginitis in elderly women can also be treated with local applications of estrogen cream or oral medication to supplement systemic estrogen therapy. Therefore, the main treatment methods for vaginitis depend on the specific type of infection.

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Written by Luo Chun Yan
Obstetrics and Gynecology
1min 4sec home-news-image

Has bacterial vaginitis that doesn't smell gone away?

Bacterial vaginosis often does not have an abnormal smell when it is likely improving. Bacterial vaginosis occurs due to a change in the pH level of the vagina, which disrupts the microecological balance, leading to mixed infections. These infections can result in an increase in vaginal discharge and itching in the vulva, although these symptoms are often not very obvious. However, a fishy odor of the discharge is a typical characteristic of this condition. After treatment for bacterial vaginosis, the disappearance of the unpleasant fishy smell indicates a significant improvement in symptoms. The primary treatment for bacterial vaginosis involves local medication in the vagina or oral medication, mainly using metronidazole. It is crucial to treat bacterial vaginosis promptly to prevent complications such as endometritis and pelvic inflammatory disease, which can affect women's reproductive and overall health.

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Written by Huang Shuai
Obstetrics and Gynecology
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Can bacterial vaginitis affect conception?

Bacterial vaginosis generally does not have a particularly large or obvious impact on conception, but it can indeed potentially affect the process of conception. This is primarily because when bacterial vaginosis occurs, there are usually a significant number of inflammatory cells in the vagina or the cervix. These inflammatory cells may affect sperm, thereby potentially impacting the process of conception. Of course, when bacterial vaginosis is present, it is generally recommended to treat it before pregnancy. This is mainly because if bacterial vaginosis exists during pregnancy, there may be an increased risk of bleeding, miscarriage, or premature birth. Therefore, it is usually advised to treat bacterial vaginosis before planning to conceive.

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Written by He Jing
Obstetrics and Gynecology
1min 2sec home-news-image

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.

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Written by Zhang Hui
Obstetrics and Gynecology
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Why is bacterial vaginitis so painful?

Bacterial vaginosis is a mixed infection caused by the imbalance of normal vaginal flora, and it is a relatively common gynecological disease. Bacterial vaginosis can damage the vaginal mucosa, primarily characterized by increased secretions and consequent irritation, causing pain. It is recommended to seek medical attention at a local tertiary hospital or gynecological clinic. Treatment should be conducted under the guidance of clinical physicians. During treatment, maintain cleanliness and hygiene of the vulva, wear loose, breathable underwear, consume a light diet, avoid spicy and other irritant foods, and abstain from sexual activity.