What are the medical treatments for vaginitis?

Patients with vaginitis can use metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets, miconazole nitrate suppositories, fluconazole capsules, Baofukang suppositories and other drugs as directed by the doctor. Vaginitis may be related to bacterial infection, fungal infection, trichomonas infection and other factors, and usually presents with symptoms such as vulvar itching and abnormal discharge.

1. Metronidazole vaginal effervescent tablets

Metronidazole vaginal effervescent tablets are suitable for bacterial vaginosis and trichomonas vaginitis. The main ingredient is metronidazole, which can inhibit the growth of anaerobic bacteria and trichomonas. Vaginal dryness or burning sensation may occur after use. Drinking alcohol should be avoided during use. This drug should be avoided during menstrual period and is contraindicated by pregnant and lactating women.

2. Clotrimazole vaginal tablets

Clotrimazole vaginal tablets are used for fungal vaginitis and exert antifungal effects by destroying fungal cell membranes. Common adverse reactions include local irritation or burning sensation, and it is contraindicated in those allergic to imidazole drugs. It is recommended to use it before going to bed, lie down after use to promote drug absorption, and avoid sexual intercourse during treatment.

3. Miconazole nitrate suppository

Miconazole nitrate suppositories can treat candidal vaginitis and interfere with fungal sterol synthesis. Adverse reactions such as local redness, swelling or itching may occur, so use with caution in the first three months of pregnancy. The vulva needs to be cleaned before use, reuse of the applicator should be avoided, and the course of treatment must be completed after symptoms disappear to prevent recurrence.

4. Fluconazole capsules

Fluconazole capsules are oral antifungal drugs suitable for severe or recurrent candida infections. Common side effects include headache and gastrointestinal discomfort. People with abnormal liver function should use with caution. This drug interacts with many drugs. Before use, you should inform your doctor about other drugs you are taking.

5. Baofukang suppository

Baofukang suppository is a Chinese patent medicine containing ingredients such as zedoary turmeric oil and can be used for various types of vaginitis. A small number of patients may experience vaginal burning sensation after use and should suspend use during menstruation. During medication, keep the vulva clean and dry, and avoid wearing tight-fitting chemical fiber underwear. It is recommended that your spouse receive simultaneous treatment to prevent cross-infection.

Patients with vaginitis need to pay attention to perineal cleaning on a daily basis, choose cotton breathable underwear and change it daily. Avoid over-washing the vagina, which may disrupt the balance of flora. It is recommended to use warm water rather than lotion when cleaning the vulva. Reduce the intake of spicy foods and supplement fermented dairy products containing lactobacilli appropriately. Sexual intercourse is prohibited during treatment, and your spouse needs to be treated simultaneously if necessary. If the symptoms are not relieved or new discomfort occurs after taking the medicine, the treatment plan should be adjusted in a timely manner and the medication cycle should not be extended on your own.