What should I do about yeast vaginitis?

Written by Gan Hai Ying
Obstetrics and Gynecology
Updated on November 10, 2024
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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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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 Li Shun Hua
Obstetrics and Gynecology
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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.)

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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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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 to treat vaginitis with medication

Vaginitis can be treated with oral medication and vaginal medication. For trichomoniasis vaginitis and yeast vaginitis, vaginal medications are quite effective, but these types can also be treated with oral medications. If it is bacterial vaginitis, it is best to use oral medication. Vaginitis is mainly related to sexual activity, so it is essential to maintain hygiene during sexual activity. It is important to wear breathable, cotton underwear and to expose sanitary products to sunlight to reduce the occurrence of vaginitis. It is advisable to have a steady sexual partner and avoid frequent sexual activity; generally, two to three times a week is most suitable.