How to treat fungal vaginitis with medication?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on September 19, 2024

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Candidal vaginitis is a common type of vaginitis. It can occur when a woman's immune resistance is weakened or under some special circumstances, leading to the onset of candidal vaginitis. Currently, the treatment of candidal vaginitis in clinical practice often involves the use of vaginal medications. The choice of medication mainly aims to inhibit the growth of the fungus. Therefore, antifungal drugs are commonly selected for the treatment of candidal vaginitis. There are many drugs available, and it is recommended that patients undergo examination at local hospitals before treatment. (Please use medication under the guidance of a doctor)

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Obstetrics and Gynecology

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Symptoms of senile vaginitis

Senile vaginitis mainly occurs in women after natural menopause or surgical menopause. The main symptom is an increase in vaginal discharge, which can be a thin, yellow fluid, and some women may also have purulent white discharge. Due to the thinning and decreased elasticity of the vaginal mucosa, women may experience pain during sexual intercourse. Often, there can be a burning sensation or itching in the vulva, and these symptoms can be exacerbated by friction while walking. Additionally, some women, due to decreased estrogen levels, suffer from reduced elasticity of the vaginal walls, leading to the formation of ulcers. Sometimes, adhesions can occur between the anterior and posterior vaginal walls due to the ulcers, preventing the drainage of pus from the vagina or uterine cavity, causing symptoms like a heavy feeling and pain in the lower abdomen.

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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 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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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.