How to judge vaginitis

Vaginitis can be judged by symptoms such as abnormal leucorrhea, vulvar itching, and urinary discomfort. It is usually caused by bacterial infection, fungal infection, trichomoniasis infection, hormonal changes, allergic reactions, etc. It is recommended to seek medical attention promptly to check the routine of leucorrhea, and to provide targeted treatment after identifying the pathogen.

1. Abnormal leucorrhea

A change in the color of leucorrhea is a typical symptom of vaginitis. Bacterial vaginosis may cause gray-white thin leucorrhea with a fishy smell. Fungal infection often leads to white bean-dregs or curd-like leucorrhea. Trichomonas vaginitis is prone to yellow-green foamy discharge. If you find a sudden increase in the amount of leucorrhea or abnormal texture, you need to be alert to the possibility of vaginitis. Metronidazole vaginal effervescent tablets, clotrimazole vaginal suppositories, tinidazole suppositories and other drugs are commonly used in clinical treatment.

2. Vulvar itching

Vaginitis should be considered if vulvar itching persists. The itching of fungal vaginosis worsens at night and may be accompanied by a burning sensation in the vulva ； Trichomonas infection may be accompanied by redness and swelling of the urethral orifice. Scratching may lead to skin damage and infection. It is recommended to use sodium bicarbonate solution for sitz bath to relieve symptoms and avoid using irritating lotions. Doctors may prescribe miconazole nitrate cream, triamcinolone acetonide and econazole cream and other topical medications.

3. Discomfort in urination

Painful urination or frequent urination may be a sign of urethral irritation secondary to vaginitis. Trichomonas vaginitis is easily complicated by urinary tract infection, causing pain during urination ； Atrophic vaginitis may cause urinary urgency due to fragile mucous membranes. It needs to be differentiated from urinary tract infection, which can be diagnosed through routine urine examination combined with leucorrhea examination. Drugs such as compound zedoary oil suppository and estriol cream can be used for treatment.

4. Pain during sexual intercourse

Congestion and swelling of the vaginal mucosa may cause pain during sexual intercourse, which is common in the acute inflammatory stage. Bacterial vaginosis may be accompanied by a burning sensation in the vagina, and fungal infections may worsen discomfort due to vaginal dryness. Sexual life should be avoided during inflammation to prevent cross-infection or aggravation of the condition. Your doctor may recommend lactic acid bacteria vaginal capsules to regulate the flora.

5. Vaginal congestion

Gynecological examination shows congestion or spotting of the vaginal wall, and the infection characteristics of different pathogens are different. Fungal infection is common with white film-like material attached to the vaginal mucosa, and erosion is revealed after wiping. ； Trichomonas infection often manifests as scattered bleeding points on the cervix. The diagnosis requires microscopic examination, and medications such as nystatin vaginal suppository and clindamycin phosphate vaginal gel are selected based on the results.

You need to keep your vulva clean and dry on a daily basis. Choose cotton breathable underwear and change it daily. Avoid excessive cleaning of the vagina to disrupt the balance of the microenvironment, and change sanitary napkins frequently during menstruation. The diet should be light and reduce the intake of spicy and irritating foods. If symptoms recur or are accompanied by fever, lower abdominal pain, etc., you should seek medical attention immediately to rule out complications such as pelvic inflammatory disease. During the treatment period, strictly follow the doctor's instructions to complete the course of treatment to avoid stopping the medication on your own, which may lead to drug resistance.