Symptoms of postmenopausal bacterial vaginitis

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on September 22, 2024
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If a patient in menopause has bacterial vaginosis, the typical symptoms are itching in the vagina, local discomfort, and there may be a foul odor and increased discharge, with the secretions becoming more abundant. It is recommended that patients with these symptoms promptly visit a hospital to check their vaginal discharge to determine if they have bacterial vaginosis and identify the pathogen causing it. This way, targeted treatment measures can be adopted, and appropriate medication can be administered. Therefore, it is advised that such patients should seek medical consultation and examination at a hospital. (The use of medication should be under the guidance of a doctor.)

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What should I do about yeast vaginitis?

Candidal vaginitis is an inflammation caused by a Candida infection in the vagina, leading to abnormal vaginal discharge and vulvar itching among other discomforting symptoms in women. Therefore, active treatment is generally necessary for candidal vaginitis. Fungi do not grow well in alkaline environments, thus washing the vulva with alkaline medicinal solutions can reduce symptoms of vulvar itching and aid in healing the disease. Additionally, local vaginal medications such as antifungal drugs like nystatin or clotrimazole vaginal tablets should be applied. In severe cases, oral treatment with drugs like fluconazole may also be necessary. Typically, symptoms of candidal vaginitis can be thoroughly alleviated after antifungal treatment. (Please follow medical advice regarding medication use.)

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Vaginitis is caused by what?

There are many causes of vaginitis, most of which are due to sexual activity. During sexual activity, the normal environment of the vagina can be altered. The vagina contains normal bacteria and has a relatively high acidity. If there is sexual activity, the pH balance inside the vagina can change, allowing pathogenic bacteria to proliferate, thus making it easy to develop vaginitis. Additionally, poor personal hygiene can also lead to vaginitis, such as using damp sanitary products and not changing underwear promptly. Therefore, it is essential to maintain hygiene during sexual activities and to keep the external genital area clean, wearing breathable, cotton underwear.

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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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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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Best treatment plan for senile vaginitis

Senile vaginitis is primarily due to the decline in estrogen levels caused by ovarian failure and the atrophy of the vaginal mucosa, making it easier for bacterial infections to occur. The main treatment methods include the use of estrogen therapy. Estriol cream can be placed inside the vagina, or estradiol can be taken orally. These methods are very effective for treating bacterial vaginitis and senile vaginitis. Additionally, anti-inflammatory medications should be used, such as placing levofloxacin in the vagina, which also produces good results. (The use of medications should be carried out under the guidance of a doctor.)