I. Symptoms of postpartum vaginitis
1. Vaginal discharge is grayish white, very sticky, even like batter, uniform and consistent, but not purulent, and the amount is variable.
The amine content in the discharge is especially high, so it smells fishy. The smell is often aggravated by promoting the release of amine during sexual intercourse or after activities.
3. Vaginal discharge may be pus-like, and symptoms of urinary tract irritation such as painful urination and difficulty in urination may appear.
4. When combined with trichomonas infection, foamy vaginal discharge may appear, and itching may increase and become strange.
5. The symptoms are a marked increase in abnormal vaginal discharge, which is thin and homogeneous or thin paste, grayish white, grayish yellow or creamy yellow, with a special fishy odor.
6. The vaginal PH value increases during menstruation, so the odor can also be aggravated during or after menstruation. Patients have discomfort in the vulva, including different degrees of vulvar itching, usually without obvious temporality, but the itching is more pronounced in the resting state and in the state of nervousness, and there are also different degrees of burning sensation in the vulva.
7. Some patients have painful intercourse, very few patients have pain in the lower abdomen, difficulty in intercourse and abnormal sensation of urination. The epithelium of the vaginal mucosa does not show obvious congestion at the onset.
Prevention of postpartum vaginitis
1. Wear cotton underwear and change them regularly. Separate towels and basins for washing the vulva. Put your underwear in the sun after washing, not in the bathroom.
2, wear clothing must be breathable, do not continuously wear pantyhose or tight jeans.
The direction of wiping after a bowel movement should be from front to back to avoid bringing Candida from the anus to the vagina.
4.If you used to like to sit by the pool in your swimsuit and chat, you will have to change that in the future. Don’t sit in public swimming pools and bathrooms, and public toilets are no exception.
5, please try to maintain a cheerful mood, because psychological reasons will also reduce the body’s immunity, so that Candida take advantage of the situation.
6. Do not use disinfectants or various cleansers to rinse your vulva and vagina frequently. It is better to use water to wash the pubic area rather than various kinds of lotions.
7. Have a gynecological screening before pregnancy and treat it promptly after it is detected. Once you have vaginitis, you should follow the doctor’s advice, take the medication according to the prescribed course of treatment, remove the causative factors, develop good hygiene habits and avoid unclean sex.
When a woman has vaginal congestion, increased leucorrhea, itching, burning pain or discomfort in the lower body, this is a symptom of vaginitis and she should avoid having sex. This is because the friction of sexual organs during intercourse will intensify vaginal congestion and women will have a strong discomfort after sex. In addition, the pathogens of some vaginitis, such as trichomoniasis and mycotic vaginitis, can be transmitted to the male partner through sexual intercourse, and even if the female partner is cured, if the male partner is not treated, he will be cross-infected again in the future, forming a vicious circle.
9, postpartum vaginitis should go to the hospital to adjust the medication according to the specific situation, do not change it casually, you can temporarily stop breastfeeding the child first, three days after the symptoms improve and stop the medication can start breastfeeding and then continue breastfeeding.
10.Postpartum, if you have a lateral incision in the perineum, try to lie on the opposite side to avoid the flow of malodex into the incision, and keep the surface clean and dry.
11. The first menstrual period after delivery is often heavy, so sanitary napkins need to be changed frequently, for example, not more than two hours, to keep the local area dry and clean.
Will postpartum vaginitis medication affect breastfeeding?
Therefore, if you find symptoms of postpartum vaginitis, you need to go to the hospital for examination in time and let the doctor decide whether antibiotics are needed according to the symptoms, signs and blood test results, and if so, which antibiotics are more appropriate.
The choice of antibiotics should consider what the possible pathogens are. If bacterial infection is considered, penicillin or cephalosporin antibiotics can be chosen during lactation, which are relatively safe. If mycoplasma infection is considered, erythromycin or azithromycin is used, but it is prudent to use during pregnancy and breastfeeding, and it is important to weigh the pros and cons of whether it must be used according to the condition, or consult your gynecologist for alternative medications. Metronidazole is prohibited during pregnancy and lactation. In case of viral infection, antibiotics are useless and no additional antibiotics are needed. Most importantly, it is important not to self-medicate.