What should I do about acute vaginitis?

Written by Qu Chun Yao
Obstetrics and Gynecology
Updated on February 19, 2025
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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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Symptoms of yeast vaginitis

Vaginal yeast infection, formerly known as vulvovaginal candidiasis, is a common and frequently occurring inflammatory disease of the vulva and vagina caused by Candida. Typical symptoms include itching of the vulva and vagina, with the severity of the itching varying, starting and stopping intermittently. When the itching is severe, it can cause restlessness and disrupt sleep and eating. In more severe cases of inflammation, there may also be pain during urination or intercourse. Another main symptom of this disease is an increase in vaginal discharge, which is characterized as white, thick, and either resembling curdled milk or cheese-like chunks.

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Symptoms of postmenopausal bacterial vaginitis

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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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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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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What are the medicines for treating vaginitis?

There are many medications for treating vaginitis, but there are also many types of vaginitis, and the medication course and treatment methods vary for different types. If one contracts vaginitis, it is necessary to go to the hospital promptly for tests on vaginal discharge to identify the pathogen before starting medication. For trichomoniasis vaginitis, oral metronidazole or tinidazole can be used for treatment. For fungal vaginitis, clotrimazole vaginal tablets can be inserted, or oral itraconazole or fluconazole can be taken. For bacterial vaginitis, oral clindamycin can be used, or metronidazole can be administered. Treatment should be based on the specific pathogen, enabling quick recovery from vaginitis. Note: Medications should be used under the guidance of a doctor.