Early symptoms of fungal vaginitis

Written by He Jing
Obstetrics and Gynecology
Updated on December 16, 2024
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The early symptoms of candidal vaginitis primarily manifest as an increase in vaginal discharge, accompanied by itching of the vulva, and the discharge may appear curd-like or resembling cottage cheese. Since candidal vaginitis causes noticeable itching of the vulva, which can severely affect the patient's study and daily life, it is necessary to visit a hospital for a routine vaginal discharge examination when encountering these symptoms. Once diagnosed, under the guidance of a doctor, appropriate alkaline washes can be used to cleanse the vulva, followed by the placement of clotrimazole vaginal suppositories or nystatin vaginal soft capsules for symptomatic treatment. Typically, symptomatic treatment for about a week can lead to recovery. Note that during treatment, sexual intercourse should be avoided to prevent worsening of the condition.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Does vaginitis affect menstruation?

Vaginitis does not have a significant impact on menstruation. However, if vaginitis leads to an ascending infection and endometritis, it can cause an increase in menstrual flow, prolonged periods, and irregular vaginal bleeding. Therefore, if you have vaginitis, it is important to seek active treatment. During the treatment of vaginitis, it is essential to avoid sexual intercourse. Engaging in sexual intercourse can lead to cross-infection of vaginitis and make it difficult to cure. It is crucial to maintain hygiene during sexual activities and take care of the vulvar hygiene to reduce the occurrence of vaginitis.

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Written by Li Shun Hua
Obstetrics and Gynecology
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What causes vaginitis?

The most common cause of vaginitis is due to sexual activity because sexual intercourse can cause changes in the pH level of the vagina, leading to a reduction in local resistance and the proliferation of pathogens. This can result in various types of vaginitis, such as fungal vaginitis, trichomonal vaginitis, and bacterial vaginitis, all of which are related to sexual activity. Therefore, it is essential to maintain hygiene during sexual activities, have a fixed sexual partner, maintain good lifestyle habits, avoid overwork and staying up late, as a stronger immune system can also reduce the likelihood of contracting vaginitis.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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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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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 Zhang Xiu Rong
Obstetrics and Gynecology
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How is yeast vaginitis caused?

Yeast vaginitis, also known as candidal vaginitis, generally forms due to improper care. Normally, the vaginal environment is acidic. If a person is particularly hygienic and uses cleansing solutions or water to wash the vagina daily, it can disrupt the vaginal microbiota, leading to recurrent episodes of yeast vaginitis. Additionally, long-term use of large doses of anti-inflammatory drugs can also cause an imbalance in the vaginal microbiota, resulting in recurrent yeast infections. Furthermore, patients with poorly controlled diabetes may also experience recurrent yeast infections. Pregnant women, 30%-40% of whom, may also develop yeast vaginitis due to microbial imbalance. Moreover, in households where someone has athlete's foot, washing socks and shorts together can also lead to yeast infections. Therefore, in addition to treatment, the precautions mentioned earlier should also be taken seriously.