Introduction to the treatment of vaginitis in the elderly

Everyone should be familiar with vaginitis. It is a very common disease among women. This disease will not affect normal life and work too much, but once it is discovered, it must be treated in time, otherwise it will lead to more serious consequences in the long run, especially when the elderly have vaginitis. Let us take a look at the treatment methods of vaginitis in the elderly.

Treatment:

In principle, it should improve the resistance of the vagina and inhibit the growth of bacteria.

1. Estrogen therapy Topical application of estrogen preparations has a direct therapeutic effect. You can choose estriol ointment (trade name: Ovestin), which has only local effects, and take 0.5g of it vaginally every night (containing 0.5mg of estriol); take 1 tablet of promestriol (Genbaofen) vaginally every night or take 1 tablet of chloroquine/promestriol (Kebaojing) vaginally every night. When combined with estrogen (Bemarle) ointment and diethylstilbestrol ointment is used topically, it has both local and systemic effects, with 0.25 to 0.5 mg vaginally administered every night. In addition to treating senile vaginitis, oral estrogen can also help relieve menopausal symptoms and is beneficial to the cardiovascular and skeletal systems of elderly women. However, when using estrogen, contraindications to estrogen should be excluded first, such as breast cancer, endometrial cancer, etc. Oral estrogen preparation nialestradiol 1-2 mg, once every 2 weeks, can be taken for a long time. Or use natural estrogen, conjugated estrogens (Premarin), estradiol valerate (Progynova), or tibolone (Livial).

2. Topical antibacterial drugs: General topical medications such as metronidazole 200 mg or ofloxacin 100 mg, administered intravaginally once every night. One course of treatment is 7 to 10 days. Various suppositories can also be inserted into the vagina, such as compound clindamycin (chloramphenicol), econazole/curcuma oil/borneol (Baofukang), and Baojunqing, etc. You can also make your own compound chloramphenicol ointment (method: chloramphenicol 32g + estradiol benzoate 320,000 U or diethylstilbestrol 32mg + cod liver oil 240ml + vaseline 120g). Apply the ointment on a cotton ball with a thread and place it in the vagina for 8 to 12 hours, then pull the thread out by yourself. Once every other day, 3 to 4 times in total.

3. Vaginal Wipes When there is a lot of secretions due to vaginal inflammation, you can consider using vaginal wipes to remove excess secretions before applying the medicine. When the above effective drugs are not available, in order to increase the acidity of the vagina, use 1% lactic acid or 0.1% acetic acid solution to flush the vagina, or 1:5000 potassium permanganate solution for a sitz bath, once a day; those who do not have medical conditions can add 60 ml of vinegar to warm boiled water for a sitz bath. However, routine vaginal douching is not recommended when the above effective drugs are available.

4. Nutrition: The whole body should be nourished, eat high-protein foods, and take

The above article introduces in detail the treatment methods of vaginitis in the elderly. In fact, since the elderly have poor resistance, they must get the correct treatment as soon as possible when suffering from this disease. It is best to use diet therapy, which has fewer side effects and can regulate their bodies from the inside out.