1. Trichomonas vaginalis
Trichomonas vaginalis is caused by the pathogen Trichomonas vaginalis and is transmitted through sexual intercourse or indirectly (via baths, tubs, swimming pools, clothing, dressings and contaminated instruments). There is also a burning sensation, painful intercourse, frequent urination, painful urination, and even hematuria when accompanied by urethral infection.
Treatment: Usually you can give oral methotrexate and intravaginal methotrexate suppositories for 7-10 days for 3 months, and 1% lactic acid douche for the vulva. Husbands should also be treated at the same time and sexual intercourse should be avoided during the treatment period. In addition, attention should be paid to human hygiene to avoid unclean intercourse and cross-infection.
2. Mycosis fungoides
It is caused by the pathogen – Candida albicans infection, mostly occurs in women who use hormones and antibiotics for a long time, diabetic and pregnant women, the infection is mainly through sexual intercourse, bath and bath towel. The main manifestations are bean curd-like leucorrhea and itchy vulva.
The way of medication: you can take 150mg of Dafukang orally, use Kenitin vaginally, or use mycobacterial suppositories to insert into the vagina. Avoid sexual intercourse during the treatment period, change underwear regularly, and use boiling water for washing utensils.
3. Gatnerella vaginitis
It can be transmitted through sexual intercourse and has a high prevalence in people who are sexually promiscuous. Infections caused by B. gattii are mostly seen in sexually active women. In the acute phase, there is an increase in leucorrhea, a fishy or ammonia odor, vulvar dampness and discomfort, often accompanied by vaginal burning, painful intercourse and vulvar itching.
Treatment of vaginal inflammation can be done by making suppositories of tetracycline and sulfathiazole and placing them deep in the vagina once a night for 10 days, orally with methotrexate and ampicillin. For systemic infections, ampicillin or chloramphenicol can be given intravenously.
4.Gonococcal vaginitis
It is caused by gonococcus, the causative agent, and can be transmitted through unclean or confused sexual intercourse. It can also be transmitted indirectly by wearing a gonococcal swimsuit or through a gonococcal contaminated bathtub or bidet. The symptoms are pain in the lower abdomen, increased vaginal discharge, purulent leucorrhea, redness and pain in the vaginal opening, etc. If left untreated, it may turn into chronic gynecological inflammation, and 10% to 20% of women may have infertility or ectopic pregnancy.
The way to use medicine: treatment with ceftazidime, Daikanomycin muscle injection for 10 consecutive days. At the same time, you can use 100 grams of marijuana leaves, 15 grams of Atractylodes, 15 grams of Huanglian, 15 grams of Phellodendron, 20 grams of Siberian grass, 15 grams of Serpent’s bed, 30 grams of Bupleurum, 30 grams of bitter ginseng, 15 grams of groundnut, water decoction. Wash the vulva while it is warm, 1 to 2 times a day for 7 days as a course of treatment, usually 1 to 2 courses can be cured.
5. Vaginitis in young girls
It occurs when a girl sits on the ground or crawls on the ground while playing, or stabs her finger directly into the vagina, or even places a foreign object, resulting in contamination of the vulva and vagina and inducing vaginitis. The main symptoms are redness and swelling of the vulva, watery vaginal discharge, and burning pain in the vagina or unbearable pain.
The way to treat vaginitis in young girls is to wash the vagina and vulva with pepper water or six-one san (containing talcum and licorice) to get satisfactory results. In order to prevent the problem before it happens, don’t give girls open crotch pants, wear loose and easy to take off closed crotch pants, and teach girls to be hygienic, don’t touch the vagina with hands or foreign objects, and clean the perineum every night.
6.Vagina for the first time for girls
When girls have their first period, they often don’t know or pay attention to menstrual hygiene because of their shyness and hazy understanding of menstruation, and abuse unclean toilet paper. It is characterized by a sensation of falling and burning in the perineum and an increase in vaginal secretions, even purulent ones. Due to the overflow of vaginal secretions, the urethra is irritated and symptoms of frequent and painful urination occur.
The patient can wash the vaginal opening and vulva before going to bed. After wiping dry, use clean fingers to gently push the pessary into the vagina, which has good anti-inflammatory effect and will not damage the hymen.
7. Vaginitis of tight pants
As the name suggests, this kind of vaginitis is caused by women who often wear tight crotch panties and high-stretch tight bodybuilding pants. Some girls who love beauty often like to wear tight clothes that reveal the curves of their bodies. This kind of pants tight crotch, package buttocks. The fabric is chemical fiber and is not breathable, so vaginal secretions and sweat are not easily distributed, making it suitable for bacteria to breed and cause vaginitis. The main symptoms are excessive leucorrhea, itching of the vagina and labia majora and minora, and frequent urination, urinary urgency and urethral irritation.
Treatment: To treat this vaginitis, first of all, do not wear tight pants made of chemical fiber, but wear cotton underwear and loose pants. Wash your vulva every night and take ciprofloxacin, vitamin C, or Chinese medicine like Gynostemma.
8. Senile vaginitis
It is a common disease in postmenopausal women. It is mainly caused by the lack of estrogen, which reduces the local resistance and causes inflammation due to the invasion and reproduction of germs. It is a common disease among postmenopausal women. The vaginal discharge increases and is yellowish, and in severe cases, there is bloody purulent leucorrhea with a foul odor, and further examination should be done to exclude the possibility of tumor.
The way to use medication: Once you find out that you have senile vaginitis, you must treat it early, as delayed treatment may result in vaginal adhesions. Treatment is usually localized with 1:5,000 potassium permanganate and vaginal plugging with vinpocetine tablets or suppositories, or systemic application of estrogen, but treatment must be under medical supervision.
9. Vaginitis during pregnancy
It is better to check if you have vaginal inflammation before you get pregnant, and if so, treat it thoroughly before you get pregnant, because then the doctor can use the medicine boldly without worrying about any effect on the fetus, and the treatment during non-pregnancy is much better than the treatment during pregnancy. During pregnancy, hormone levels rise, secretions increase, vaginal pH changes, and bacteria that live in the vaginal area also flare up as the environment changes, with mycosis vaginalis being the most common among pregnant women.
The way of medication: Pregnant women should be especially cautious in the treatment of vaginitis. Topical medications such as mycobacterial suppositories, Kenitin suppositories and Povidon suppositories can be used topically according to the different types of vaginitis to prevent the medication from causing fetal malformation. Mycobacteria can infect the fetus in the birth canal and make the newborn get the disease called thrush. Therefore, pregnant women should be treated thoroughly for vaginitis to prevent fungus from the birth canal from attacking the fetus during delivery.