What is the most common disease in gynecology clinics? It is undoubtedly vaginitis! The most common complaints from patients are: “Doctor, I found that my vulva itches when I swim for a few days”; “Doctor, I found that my leukorrhea has become yellow and abundant when I traveled for a few days”; or complaining: “Doctor, I douche my vagina every day, but how come there is still so much leukorrhea? so much?” “Doctor, I have a burning sensation in my vulva after having sex with my husband (boyfriend) these days, is there something wrong with my husband?” “Doctor, why do I have itchy vulva and tofu-dreg-like leukorrhea every time I have my menstrual period?” According to statistics, almost every woman will get vaginitis once or more times in her life, and even doctors are not immune to it. Vaginitis isn’t scary but it’s annoying and a little bit humiliating, isn’t it? Who is prone to vaginitis Who do vaginitis like to find, let’s see how many of them you have? Welcome to the seat, there is a change without adding encouragement Oh! 1, like to douche vagina Think they love health, some people like to use the water heater water rinse vagina, and some people like to use lotion to wash the vulva or vagina, is not there a line of advertising “wash healthier”? Many women have been misled. Normal vagina has a variety of microorganisms, but because of the formation of ecological balance between the vagina and these microorganisms are not pathogenic, in which Lactobacillus, estrogen and vaginal pH plays an important role for the vaginal self-cleaning effect. Vaginal douching not only can not clean up the vagina, but will lead to a large reduction in the number of beneficial lactobacilli in the vagina, breaking the ring of the acidic environment in the vagina, the vaginal ecological balance is destroyed, pathogens are easy to invade, and even cause bacterial infections upstream. 2, sex life is too frequent just married two sweet, sex life is more often is no excuse, but everything has a degree. Normal vagina is an acidic environment (pH ≤ 4.5, more in 3.8 ~ 4.4). To know a love can make the vaginal pH rise to 7.2 and maintain 6-8 hours, a night many times after sex, the vagina continues to be alkaline, which inhibits the growth of lactobacilli, on the contrary, for the growth of pathogenic bacteria to create the conditions. 3, poor personal hygiene habits during menstruation do not pay attention to cleanliness and hygiene, the use of low-quality sanitary napkins, tampons, etc., caused by vulvar contamination or allergies; swimming is related to chlorine in the pool water; there are also those who like to wear tight pants, breathable, vaginal secretions and sweat is not easy to disseminate, easy to cause bacterial reproduction. 4.Decrease in resistance Postmenopausal women and infants with low levels of estrogen, the use of immunosuppressants and other people with low immunity can cause a decline in local resistance, but also susceptible to infection. 5, trauma and surgical damage to the vagina Vulvovagina is the delivery, uterine operation of the necessary way, if the surgical instruments are not strictly disinfected or the operation process is not standardized, etc., easy to damage, it may make the pathogenic bacteria take advantage of the opportunity to enter, resulting in a medically induced infection 6, antibiotics Long-term application of antibiotics to inhibit the growth of Lactobacillus, which can make the other conditionally pathogenic bacteria to become the dominant bacterium. Correct treatment of vaginitis Some people with vaginitis feel ashamed, embarrassed to go to the hospital, and even their own unauthorized use of medication, as a result, the symptoms worsened. It is recommended that you find a doctor as soon as possible, there are many kinds of vaginitis, and the medication for different vaginitis is not the same. The examination is also very simple, take the vaginal discharge to do routine examination of the leukorrhea, half an hour to get the results, the doctor will be symptomatic medication. There are more than a dozen types of vaginitis, and the ones described below are just four of the most common. All you have to do is to understand the condition, and then follow the doctor’s instructions to treat it OK. 1, trichomonas vaginitis The main symptoms are increased leukorrhea and vulvar itching, intermittent burning, pain, pain during intercourse. Examination of the vaginal wall congestion, edema and thin purulent, yellow-green foamy, foul-smelling secretions. The pathogen is Trichomonas vaginalis, with sexual contact as the main mode of transmission, but also intermittent transmission. Therefore, sexual partners need to be treated at the same time. Because trichomonas vaginitis can be at the same time urethra, parurethral glands, vestibular gland trichomonas infection, to cure the need for systemic medication, the main drug is metronidazole and tinidazole. The main drugs are metronidazole and tinidazole. 3 times negative test is used to be regarded as a cure. In order to avoid repeated infections, underwear and washing towels should be boiled for 5 to 10 minutes to eliminate pathogens. 2, vulvovaginal pseudomycosis is actually familiar with moldy vaginitis. The main manifestations are vulvar itching, burning pain, pain during sexual intercourse and painful urination, and some patients have increased leukorrhea. Leukorrhea is white, thick and curd-like or tofu dregs. The pathogen is Pseudomonas aeruginosa, an opportunistic pathogen, mainly endogenous. The first step in treatment is to eliminate the causative agent, and according to the patient’s condition, choose local or systemic application of antifungal drugs. Symptomatic sex partners should be treated to prevent women from repeated infections. 3, bacterial vaginosis mainly manifested as increased leukorrhea, fishy odor, can be accompanied by mild vulvar itching or burning sensation. Leukorrhea is a homogeneous, thin grayish-white secretion, easy to wipe away from the vaginal wall. A mixed endogenous infection caused by a decrease in Lactobacillus and an increase in Gardnerella and anaerobes in the vagina. Treatment is primarily directed at anaerobic bacteria with drugs such as metronidazole, tinidazole, and clindamycin. Oral and topical treatments are available. Sexual partners do not need treatment. 4, atrophic vaginitis, the main symptoms of vulvar burning sensation, itching and leukorrhea, often with painful intercourse. It is an inflammation mainly caused by aerobic bacterial infection due to the decrease of estrogen level and local resistance. The principle of treatment is to supplement estrogen, increase vaginal resistance, can be local or systemic administration; antibiotics to inhibit bacterial growth, local use of antibiotics vaginal plug. Effective prevention of vaginitis In fact, effective prevention of vaginitis is the hard truth for everyone, after developing good habits, vaginitis will be far away from you. 1, wash the vulva with water every day, can not douche the vagina, you can shower, or use a special basin. 2, panties should be changed every day, it is best to wash separately, wash immediately, put in a ventilated sunny place in the sun, to the front. The best underwear is cotton material, loose, too tight easy to make the blood flow is not smooth. Less use of pads, permeability is poor. 3, after the stool with toilet paper to wipe the vulva direction should be from front to back, not from back to front, and can not be back and forth to wipe test, otherwise easy to the anus mouth unclean things, and even pathogens to the vulva, vaginal opening. 4, snap before both husband and wife to wash the vulva, the number of appropriate, not too frequent, of course, not too much passion, resulting in vulva, vagina damage. 5, usually pay attention to exercise, enhance resistance, germs are not easy to invade.