What is the best medicine for vaginitis?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 15, 2024
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What kind of medicine is best for vaginal inflammation depends primarily on the type of bacteria causing the infection and the nature of the vaginal inflammation. Since different bacteria cause different clinical symptoms, the treatment and medications vary accordingly. Generally, if the treatment is symptomatic, whether using common medications or specific ones, it will certainly be effective as long as it matches the symptoms. If treatment is not based on the correct diagnosis, and medication is used blindly without a clear diagnosis of vaginal inflammation, this will definitely not be appropriate. Generally, in cases of trichomonas infection, the vaginal discharge appears watery and has a foul smell, and treatment must be specifically targeted against trichomonas infection. If the discharge is curdy or cheese-like, these are typical symptoms of fungal vaginitis, and treatment must be conducted with effective medications specifically for fungal infections. Therefore, the type of medication for vaginal inflammation must be determined after an examination and based on the results, appropriate treatment should be administered.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Is vaginal itching vaginalitis?

Vaginal itching is mostly caused by vaginitis, with trichomonal vaginitis and candidal vaginitis causing noticeable symptoms. It is best to visit a hospital to test vaginal discharge and determine the infectious pathogen before medicating. Candidal vaginitis can be treated with clotrimazole vaginal tablets, miconazole suppositories, and oral fluconazole and itraconazole, which are all very effective. For trichomonal vaginitis, oral treatment with metronidazole or tinidazole can be used, and metronidazole can also be placed inside the vagina. These medications should be used under the guidance of a doctor.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How is vaginitis treated?

If you get vaginitis, you should first go to the hospital to have a vaginal discharge test, because there are many types of vaginitis, and the treatment methods and medications vary. Therefore, it is necessary to identify the pathogen causing the vaginitis before medicating. Treatment can include both topical and oral medications. For trichomonal vaginitis, metronidazole can be used, both topically and orally. For fungal vaginitis, clotrimazole vaginal tablets can be used topically, or fluconazole can be taken orally. Bacterial vaginitis requires the use of antibiotics for treatment.

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Written by Yan Qiao
Obstetrics and Gynecology
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What is vaginal inflammation during pregnancy?

Due to the increase in body weight and the rapid rise in hormone levels during pregnancy, pregnant women are prone to vaginitis, and the risk of infection may also significantly increase. The three more common types of vaginitis include trichomoniasis, vulvovaginal candidiasis, and bacterial vaginosis. The presence of these three types of vaginitis can manifest as an increase in vaginal discharge accompanied by vulvar itching. Specific tests for vaginitis are needed based on the characteristics of the vaginal discharge and the results of the vaginitis tests, to determine the specific type of vaginitis and treat accordingly based on the type.

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Written by Qu Chun Yao
Obstetrics and Gynecology
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What should I do about acute vaginitis?

Acute vaginitis refers to acute inflammation caused by some kind of pathogen infection, clinically characterized by an increase in vaginal discharge and changes in the nature of the discharge. Symptoms also include itching of the vulva, a burning sensation of the vulva, pain during intercourse, and frequent urination and urgency. Acute vaginitis disrupts the female immune system and damages the reproductive system, affecting the sexual life of couples. For acute inflammation, a vaginal secretion test should be given to understand and identify the pathogen, thereby treating the pathogen specifically. If necessary, bacterial culture may be conducted, and treatment can be administered orally or applied directly to the vagina to treat the vaginitis.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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The Harm of Candidal Vaginitis

The harm of yeast vaginitis manifests as severe itching of the vulva, which can significantly affect a patient's daily life. Therefore, yeast vaginitis has a substantial impact on the body, affecting work and studies, and must be actively treated. Clinically, yeast vaginitis presents with curd-like or cottage cheese-like vaginal discharge, which is itchy but odorless. At this time, treatment requires going to a hospital to obtain a secretion sample for testing. After confirming the diagnosis of yeast vaginitis, appropriate medication is selected based on the test results to treat the condition symptomatically. If not treated actively, yeast vaginitis may recur around the time of the next menstrual period and can worsen before and after menstruation. Thus, it is crucial to actively seek symptomatic treatment for yeast vaginitis.