What medicine to take for vaginitis

The vagina is a very fragile area of ​​the female body, so every woman should pay attention to the protection of the vagina, so as to effectively prevent vaginitis. In most cases, vaginitis is an inflammation of the female vagina caused by bacteria or viruses, so it is very necessary to keep the vagina dry and clean. What medicine can effectively treat vaginitis?

What medicine is used for bacterial vaginosis

Bacterial vaginosis (BV) is a mixed infection caused by vaginal Gardnerella and some hypoxic bacteria, which leads to an imbalance of the microecological balance in the vagina, causing a syndrome of increased vaginal discharge, fishy leucorrhea, and vulvar itching and burning. What medicine is good for bacterial vaginosis?

1. General treatment

Keep the vulva clean and dry and avoid scratching. Do not eat spicy foods. Change your underwear frequently and wash it with warm water. Do not mix it with other clothes to avoid cross infection.

2. Drug treatment

(1) Metronidazole is currently considered to have reliable therapeutic effects and should be taken twice a day for 7 consecutive days.

(2) Methicillin (clomiphene) is used for 3 days.

(3) Thiamphenicol (Thiamycin) is effective against a variety of Gram-negative and Gram-positive bacteria, and has a good therapeutic effect on the growth of anaerobic bacteria, so it can also be used.

(4) Cleansing and ampicillin can also be used. In recent years, it has been advocated that no treatment is needed for asymptomatic people.

3. Local therapy

Topical medications can be used for treatment, such as metronidazole suppositories, once a night for 7 consecutive days.

4. Treatment of comorbidities

If other pathogens are detected, use medications targeting those pathogens to avoid the abuse of antibiotics. Pay attention to the medication for systemic conditions, and provide support and immunotherapy at the same time, and pay attention to adverse drug reactions.

5. Treatment of sexual partners

Male sex partners are treated at the same time.

What medicine is used for candidal vaginitis

Candidal vaginitis, also known as candidal vaginitis, is caused by Candida infection. Its incidence is second only to bacterial vaginosis. Candidal vaginitis is more common in young girls, pregnant women, diabetic patients, and postmenopausal patients who have been treated with high doses of estrogen. What medicine is more suitable for candidal vaginitis?

1. Change the acidity and alkalinity of the vagina

If you use alkaline drugs to flush the vagina, you can use 2% to 4% soda solution to flush the vagina to change the living environment of the fungus. However, its effectiveness remains controversial.

2. Drug treatment

(1) Nystatin vaginal suppository: inserted deep into the vagina, once in the morning and once in the evening or once every night for 2 weeks. Clotrimazole suppositories or miconazole suppositories can also be used.

(2) Oral administration of nystatin or fluconazole, etc.

(3) Apply nystatin cold cream or miconazole cream topically twice a day.

Pregnant women with candidal vaginitis may recover after delivery, but the newborn is at risk of infection, so timely treatment is still needed, preferably with local medication.

3. Male carriers

Male carriers must also receive routine treatment, which is one of the important measures to prevent recurrence of female patients.

What medicine is used for Trichomonas vaginitis

Trichomonas vaginitis is caused by Trichomonas. The Trichomonas that parasitize the human body include Trichomonas vaginalis, Trichomonas humanis and Trichomonas oralis, which parasitize the urogenital system, intestines and oral cavity respectively. The one related to skin disease is Trichomonas vaginalis, which causes Trichomonas vaginitis. It is a parasitic disease that is mainly transmitted through sexual intercourse and is contagious. What medicine can relieve the symptoms of Trichomonas vaginitis?

1. Systemic treatment

(1) Metronidazole (Flagyl) 3 times a day for adults and reduced dose for children. The treatment course for intestinal trichomoniasis is 3 to 5 days. Trichomonas urethritis, vaginitis, and stomatitis should be treated with the medicine for 7 to 10 days. It is forbidden to use for pregnant and lactating women.

(2) Tinidazole

For genitourinary tract and oral infections, double the first dose, once a day, for 5 to 6 days.

(3) Take trichostatin three times a day for 5 to 7 days.

2. Local treatment

(1) For Trichomonas vaginitis, first scrub the vaginal wall with a soapy cotton ball, then rinse the vagina with 0.02% potassium permanganate solution or warm water, then wash with 1% lactic acid or 0.5% acetic acid and wipe dry. Choose one of divijing, carbazon or metronidazole and insert it into the posterior fornix of the vagina or spray it into the vagina once every night or every other night. One course of treatment is 7 to 10 days, and it can be used in succession for 2 to 3 courses.

(2) Oral hygiene: Rinse your mouth with salt water, keep your oral cavity clean and hygienic, and do not eat sweet foods before going to bed.

What medicine is used for senile vaginitis

Senile vaginitis is common in elderly women after menopause. It is caused by the decline of ovarian function, decreased estrogen levels, atrophy of the vaginal wall, thinning of the mucosa, decreased glycogen content in epithelial cells, increased pH in the vagina, and reduced local resistance, making it easy for pathogenic bacteria to invade and multiply, causing inflammation. What medicine is used for senile vaginitis? The principle of treatment is to supplement estrogen, enhance vaginal resistance and inhibit bacterial growth.

1. Enhance vaginal resistance

Estrogen preparations are given according to the cause, either topically or systemically. Apply estrone ointment topically twice a day, or estriol cream topically once a day within the first week, and then gradually reduce to the maintenance dose (such as twice a week) based on the relief situation.

2. Inhibit bacterial growth

Flushing the vagina with 1% lactic acid or 0.5% acetic acid solution once a day can increase vaginal acidity and inhibit bacterial growth and reproduction. After vaginal douching, topical antibiotics are applied.