What are the symptoms of trichomonal and fungal vaginitis?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 28, 2024
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Trichomonal vaginitis primarily presents with symptoms such as vulvar itching, yellow purulent vaginal discharge, and a foul odor; severe cases can cause vaginal congestion and edema. If it is candidal vaginitis, the main symptom is severe vulvar itching, sometimes accompanied by vulvar edema. Scratching may reveal scratch marks on the vulva. The discharge in this type of vaginitis typically resembles cottage cheese and usually does not have an odor, but a foul smell may occur if there is a bacterial co-infection. In terms of treatment, these two types of vaginitis require different approaches. Trichomonal vaginitis can be treated with metronidazole or tinidazole, whereas candidal vaginitis can be treated with clotrimazole vaginal tablets. (Specific medications should be used under the guidance of a physician.)

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What should I do if I have vaginitis?

Vaginitis requires a hospital examination. Because the bacteria responsible for vaginitis vary, the clinical manifestations and medications used also vary. If the vaginal discharge appears like curds or cottage cheese, it suggests yeast vaginitis, and it should be treated with medication specific for yeast infections. In the case of yeast vaginitis, if the discharge becomes watery and has a fishy smell, it generally indicates a trichomonas infection, for which medications such as metronidazole or tinidazole can be used topically. If the discharge is yellow, thick, and abundant, caused by bacteria or cervical erosion, it should be treated as bacterial vaginitis accordingly. Therefore, it is essential to have a laboratory test of the secretions at a hospital to determine the type of infection and treat it accordingly.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How long does it take for acute vaginitis to heal?

Acute vaginitis is primarily characterized by purulent discharge or cottage cheese-like discharge, with patients experiencing severe itching in the vulva. Additionally, some may feel a contracting sensation during urination; these are all manifestations of acute vaginitis. The treatment duration for acute vaginitis generally requires seven days, so most can be cured after completing one treatment course. Some individuals might still experience symptoms after one course of medication and may need two courses. Common types of acute vaginitis include yeast vaginitis, bacterial vaginitis, and trichomonal vaginitis. These types of vaginitis must be treated promptly when they acutely manifest to avoid progressing to chronic vaginitis, which is more problematic to treat.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to treat fungal vaginitis with medication?

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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Written by Shen Li Wen
Obstetrics and Gynecology
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What are the symptoms of yeast vaginitis?

When women suffer from candidal vaginitis, they will produce a cottage cheese-like vaginal discharge, along with intense itching of the vulva. The itching, especially severe at night, is the most intense among symptoms of vaginitis and can disrupt normal sleep. Moreover, the discharge is thick and adheres to the vaginal walls, making it difficult to expel. There can be congestion and swelling of the vulva due to the poor elasticity of the vulval skin and mucous membrane, which can lead to painful cracking during intercourse. Additionally, the infection can spread to the urethral opening and urethra, causing frequent urination and urgency in women, and it can also be transmitted to men through sexual activity.

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

Common causes of candidal vulvovaginitis include long-term use of broad-spectrum antibiotics, patients with diabetes, patients who long-term use immunosuppressive drugs, wearing tight underwear, and moisture in sanitary products. All these factors can lead to the occurrence of candidal vulvovaginitis. Changing unhealthy lifestyles, stopping the use of antibiotics, actively treating diabetes, wearing breathable cotton underwear, and keeping the vulva clean can all reduce the occurrence of candidal vulvovaginitis.