Vaginitis is an inflammation of the vaginal mucosa and submucosal connective tissue and is a common disease in gynecologic clinics. The common types of vaginitis are bacterial vaginitis, trichomonas vaginitis, candida vaginitis, and senile vaginitis. Common causes When the natural defenses of the vagina are disrupted, pathogens can easily invade and lead to vaginal inflammation. If many physiological and physical factors in life disrupt the pH balance of the vagina, the body’s self-regulatory function is disrupted, causing Candida and Trichomonas to multiply rapidly and lead to vaginitis. Young girls and postmenopausal women are more susceptible to vaginal infection than adolescent and fertile women due to lack of estrogen, thin vaginal epithelium, reduced intracellular glycogen content, and vaginal pH of about 7. If antibiotic drugs are used in excess, it is easy for women to develop mycosis fungoides. Long-term use of antibiotics can inhibit lactobacilli in the vagina and lose their antagonistic effect on mycobacteria Diagnosis There are many ways to identify vaginitis, and the doctor can confirm the diagnosis based on the patient’s symptoms and examination of vaginal secretions. Mycosis vaginalis is caused by an infection with Candida albicans. Symptoms are seen in the form of heavy leucorrhea, tofu-like discharge, vulvar itching, burning pain and painful intercourse, and fungus can be found in the discharge tests. Bacterial vaginosis is mostly caused by infection with anaerobic bacteria. The symptoms are increased vaginal discharge, which is grayish-yellow and thin, often with a foul odor, and more clue cells can be found under the microscope. Trichomonas vaginalis is caused by infection with Trichomonas vaginalis. The symptoms are abundant leucorrhea, yellowish, thick and foul smelling with foam, vulvar itching, burning pain, painful intercourse, etc. Trichomonas can be found in the discharge. It is contagious. Old-age vaginitis is caused by a lack of estrogen and a decrease in vaginal resistance, resulting in pathogenic infections. Treatment The treatment depends on the type of infection. Try to use specific medications. There is no one drug that can treat all vaginitis. For mycosis vaginalis, use antifungal drugs. It is easy to relapse after cure. For recurrence, consolidation therapy is emphasized. Anti-trichomonas drugs are used for trichomoniasis. Metronidazole and Ornidazole are commonly used. Couples should be treated together. Bacterial vaginosis should be treated with antibiotics. Systemic medication is emphasized. Metronidazole, Ornidazole, Clindamycin are commonly used drugs. Geriatric vaginitis should also be treated according to the infectious agent. Topical estrogen can be applied to enhance vaginal resistance. Emphasis should be placed on maintaining the balance of the vaginal microenvironment after treatment. The vaginal microenvironment can be more resistant if the pH level in the vagina is appropriate and the lactobacilli should maintain a certain dominance. Myths of treatment Indiscriminate use of medication without examination. Buying medication from pharmacies. Different types of vaginitis require different medications. Vaginitis is a minor disease and does not need treatment. Vaginitis needs to be treated and can lead to cervicitis, endometritis and even pelvic inflammatory disease and adnexitis if it develops. If you are pregnant, you cannot use medicine to treat vaginitis. If you have vaginitis after pregnancy, you can use medication that has fewer side effects. Of course, it is important to weigh the pros and cons and the benefits of the treatment should outweigh the side effects. Vaginitis is treated by douching the vagina. Random douching can alter the vaginal microenvironment, making vaginitis treatment delayed or less effective. In conclusion Vaginitis is a common gynecological condition. When there is excessive leucorrhea and external itching, it is important to seek medical advice and not to avoid treatment. The diagnosis can be confirmed by taking the leukorrhea after gynecological examination. Vaginitis is a curable disease. It is important to use medication according to the classification of vaginitis and the results of laboratory tests.