What are the geriatric gynecological inflammatory diseases?

  When women enter old age, their organs and tissues gradually age, their ovarian function declines, their estrogen level decreases, the vaginal wall atrophies, the mucous membrane thins, the glycogen content of epithelial cells decreases, the local pH of the vagina rises, and the local and systemic resistance to infection decreases, making them susceptible to various gynecological inflammatory diseases such as vulvodynia, vaginitis, cervicitis, and pelvic inflammatory disease.  1, vulvovaginitis: the main manifestation is vulvar itching, pain, burning sensation. For treatment, keep local cleanliness and dryness, actively eliminate the causes, such as active treatment of diabetes in diabetic patients, repair surgery for patients with fecal leakage and urinary leakage, and local application of antibiotic treatment. Vaginitis: Older women are mainly prone to age-related vaginitis, which is prone to recurrent infections, mainly manifested by increased vaginal discharge, change in the nature, odor, vulvar itching, pain and painful intercourse. For treatment, attention should be paid to vulvovaginal cleanliness, local application of antibiotics to inhibit bacterial growth, and local or systemic administration of estrogen to enhance vaginal resistance.  2, cervicitis: most of them are asymptomatic, a few patients show increased vaginal discharge, bleeding between menstruation, bleeding after sexual intercourse. Clinically, mainly gynecological examination reveals that the cervix is congested and edematous, with erosion-like changes and mucopurulent secretions attached. The treatment is mainly antibiotic treatment for acute cervicitis, chronic cervicitis for the cause, physical therapy including laser, freezing, microwave and other methods, drug therapy mainly choose sensitive antibiotics or drug symptomatic treatment.  3, pelvic inflammatory disease: the main manifestations are lower abdominal pain, lumbago, increased vaginal discharge, may be accompanied by high fever, chills, headache, decreased appetite, increased menstrual flow, prolonged periods, frequent urination, urinary urgency, painful urination and other discomforts. Treatment is mainly pharmacological, oral antibiotics, can be combined with Chinese herbal medicine to activate blood circulation and remove blood stasis, clear heat and detoxify the toxin, serious cases need surgery.