How to apply medicine for vaginitis

Women are very prone to gynecological diseases after they reach the age of 25. Some women have chaotic sex lives and many sexual partners, which can cause vaginitis. The main cause of vaginitis is the accumulation of Staphylococci, which damages the acid-base environment of the vulva and often leads to serious symptoms such as redness, swelling, pain, and abnormal vaginal discharge. After vaginitis occurs, you must apply medicine in time, and be careful not to hurt the vagina when applying the medicine.

Vaginitis, or inflammation of the vagina, is a group of conditions that cause vulvovaginal symptoms such as itching, burning, irritation, and abnormal discharge. The vagina of a normal healthy woman has a natural defense function against the invasion of pathogens due to the characteristics of its anatomical tissue. For example, the closure of the vaginal opening, the close contact of the anterior and posterior walls of the vagina, the proliferation of vaginal epithelial cells and the keratinization of surface cells under the influence of estrogen, and the balance of vaginal acidity and alkalinity inhibit the reproduction of alkaline-adapted pathogens. The cervical mucus is alkaline. When the natural defense function of the vagina is destroyed, pathogens can easily invade and cause vaginal inflammation.

Generally, the drug treatment for vaginitis is mainly external use. Patients with pelvic inflammatory disease or recurrent vaginitis can take oral medications. If necessary, couples can be treated together. Note that long-term oral antibiotics may inhibit normal flora and cause secondary fungal infection.

1. Bacterial vaginosis

The principle of treatment is to use anti-anaerobic drugs, mainly metronidazole, tinidazole, and clindamycin. Caution: Disulfiram-like reactions may occur with both oral and topical metronidazole.

(1) Oral medication: Metronidazole is the first choice.

(2) Local drug treatment.

(3) Sexual partners do not require routine treatment.

2. Candidal vaginitis

(1) Eliminate the cause: If you have diabetes, you should be treated actively and stop using broad-spectrum antibiotics, estrogen and cortisol in time. Change your underwear frequently, and wash used underwear, basins, and towels with boiling water.

(2) Topical medications: miconazole suppositories, clotrimazole suppositories, and nystatin suppositories.

(3) Systemic medications (for patients with recurrent attacks or who cannot take vaginal medication): fluconazole, itraconazole. Fluconazole has a lower risk of hepatotoxicity and can be used as an alternative to ketoconazole.

(4) Sexual partners should be tested and treated for Candida albicans.

(5) Pregnancy complicated by Candida vaginitis is mainly treated with local treatment, and oral azole drugs are contraindicated.

3. Trichomonas vaginitis

(1) Local vaginal medication: Metronidazole vaginal effervescent tablets or 0.75% metronidazole gel, 1% lactic acid or 0.5% acetic acid solution flushing can relieve symptoms.

(2) Systemic medication: Metronidazole can be used for initial treatment, but the medication should be discontinued if side effects are detected. Do not drink alcohol during the use of metronidazole and within 24 hours of stopping the medication, and do not drink alcohol during the use of tinidazole and within 72 hours of stopping the medication. The efficacy and side effects of metronidazole and tinidazole are similar, including possible disulfiram-like reactions. Do not breastfeed while taking medication.

(3) Sexual partners should receive treatment at the same time and avoid unprotected sexual intercourse before recovery.