Vulvitis

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Written by Su Wen
Obstetrics and Gynecology
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How many days can vulvitis be cured?

Vulvitis is caused by irritation from menstrual blood and vaginal secretions, or lack of attention to local cleanliness, among other reasons. Additionally, friction of skin and mucous membranes, local moisture, and poor breathability can lead to itching, pain, and burning sensations in the vulvar skin and mucous membranes. In the acute phase, there may be congestion, swelling, and erosion seen in the vulva, sometimes with scratch marks. The general treatment principle is to eliminate the cause, improve local hygiene, and keep the vulvar area clean and dry. Clean the vulva daily and keep the area dry.

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Written by Yan Qiao
Obstetrics and Gynecology
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Complications of vulvitis

For patients with vulvitis, the main complications are the formation of vulvar ulcers or eczema. In chronic inflammation, the skin of the vulva may become thickened, rough, or cracked, and even undergo lichen-like changes. In severe cases, the condition may cause fever and other systemic symptoms, and even lead to enlargement of the inguinal lymph nodes. Furthermore, vulvitis and its pathogens might spread upwards, causing an onset of pelvic inflammatory disease.

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Written by Zhu Hua
Obstetrics and Gynecology
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How to treat vulvar ulceration caused by fungal vaginitis?

Candidal vulvovaginitis is caused by Candida albicans. When it occurs, it can cause edema of the vulvar and vaginal mucosa. Gynecological examinations can also reveal hyperemia and edema of the vulva. However, the main symptoms of candidal vulvovaginitis are itching and burning pain. When the itching and burning pain are severe, scratching may occur, and in serious cases, you can see cracked skin, forming some acute erosions and superficial ulcers. When encountering vulvar ulcers, do not panic. You can use traditional Chinese medicine washes for external cleansing, which helps in anti-inflammatory and disinfection. At the same time, use antifungal ointment for external application; after a period, the ulcerated area will gradually improve.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Can you eat seafood with vulvitis?

There are many causes of vulvitis. One cause is an increase in vaginal discharge due to vaginitis or cervicitis, which stimulates the vulvar tissue leading to vulvitis. Another cause is related to allergic constitution, manifesting as itching, swelling, and other inflammatory symptoms of the vulva. If the vulvitis is due to an allergy, it is advised not to consume seafood, as it may aggravate the condition. Therefore, it's important to seek timely medical attention at a hospital if vulvitis occurs. This includes routine examination of secretions and endoscopic examination of the vagina. Treatment should be promptly administered based on the examination results. Additionally, individuals with low immunity might display white lesions on the vulva, which could also be a sign of vulvitis. Regular cleansing of the vulva, avoiding cold and fatigue, and enhancing the immune system are recommended.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Can vulvar inflammatory swellings heal by themselves?

If the vulva has only developed an inflammatory lump, it can be cured because as the inflammation subsides, the lump may gradually shrink and fall off. However, it is crucial to determine whether a vulvar lump is inflammatory or malignant. Therefore, patients with vulvar lumps may need to have a biopsy of the vulvar tissue sent to the pathology department to determine its origin. For inflammatory lumps, topical application of erythromycin ointment can be used; it can heal on its own. (Please use medication under the guidance of a doctor.)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can erythromycin ointment be applied for vulvitis?

Only a few types of vulvitis might be effectively treated with erythromycin ointment application, as the treatment depends on the specific pathogen involved in the vulvitis, and not all inflammations use the same medication. First, a vaginal discharge test must be conducted, as some cases are due to yeast infections, and some are due to trichomoniasis, for which erythromycin ointment is ineffective. For instance, treatment for trichomoniasis requires both partners to simultaneously undergo treatment with oral metronidazole, otherwise, even if only the woman is treated, there is a high chance of recurrence. (Please use medications under the guidance of a doctor.)

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can vaginitis be detected through a vaginal discharge test?

Vulvitis can generally be detected by examining the vaginal discharge. Normally, vaginal discharge is clear, transparent, odorless, and minimal which is considered normal. The majority of cases of vulvitis and vaginitis are due to abnormal secretions. At this time, a definitive diagnosis can be made through the analysis of these secretions. Usually, a routine secretion test at a hospital is sufficient. If the secretion is abnormal, treatment can be based on the type of infection indicated by the routine test results. Thus, most cases of vulvitis can be diagnosed through routine vaginal discharge tests. Patients with vulvitis generally improve after a week of treatment and should pay attention to vulvar hygiene after recovery to prevent infection.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Does vulvitis cause an abnormal odor in vaginal discharge?

Vulvitis generally results in abnormal vaginal discharge, primarily characterized by abnormal secretions causing itching and odor in the vulva. Normally, vaginal discharge in women is clear, transparent, odorless, and minimal, which is considered normal. If the discharge has an odor, it most commonly suggests a bacterial infection or a trichomonas infection. In cases of trichomonas infection, the discharge typically has a fishy smell, is watery, and accompanied by itching, leading to vulvitis reactions. At this point, a secretion test at the hospital can be conducted, followed by targeted treatment based on the test results. Furthermore, bacterial vaginitis can also present with odorous discharge. This condition typically involves yellow, thick, abundant discharge, and vulval itching. Treatment can then be tailored based on examination results, selecting appropriate topical medications. (Medication should be used under the guidance of a doctor.)

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Written by Shen Li Wen
Obstetrics and Gynecology
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Why does vulvitis keep recurring?

Women frequently experience recurrent episodes of vulvitis for various reasons. A common issue is that during treatment, the medication used is not suitable for their condition as they do not get their secretions tested before starting medication. Additionally, even if the medication is appropriate, some women do not complete the full course of treatment and stop taking the medicine once symptoms improve, which can lead to recurrence. Furthermore, some women have lower resistance around their menstrual period or during menstruation, making them more susceptible to recurrent episodes. Another factor contributing to recurrent vulvitis includes untreated underlying causes such as diabetes, urinary incontinence, or fecal fistula. Some women do not frequently change their underwear or pay attention to the cleanliness of the vulvar area, which can also lead to recurrent inflammation. (Please use medication under the guidance of a professional physician and do not self-medicate.)

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Written by Jia Rui
Obstetrics and Gynecology
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How to deal with vulvar inflammation?

When inflammation and swelling of the vulva occur, it is essential to pay attention to personal hygiene and wash with clean water after defecation. The secretions of the vulva are acidic and contain normal flora, which helps prevent bacterial infections. Avoid frequently washing the vulva with medications or other washes. In cases of vulvar inflammation, it is advisable to wear breathable cotton underwear to avoid wearing too tight underwear and to use anti-inflammatory ointments to treat swelling. Furthermore, women experiencing this condition should avoid foods that can cause irritation and inflammation of the genitals, such as soft-shelled turtles, crabs, chicken, goose, lamb, etc., and should also avoid spicy and irritating foods.