What medicine should I take for delayed menstruation?

I wonder if female friends have ever noticed that their menstruation always takes a long time to end completely, and usually only a little blood appears in the later stage of menstruation. This is called menstrual tailing. Generally speaking, if menstruation is completely over within a week, it is a very normal condition. However, if it exceeds a week, it is a case of delayed menstruation. So, what medicine should be taken for delayed menstruation?

6 common treatments for vaginitis

Trichomonas vaginitis

If Trichomonas multiplies in large numbers in the vagina, vaginal secretions will increase and the vulva will feel tingling and itching. This is Trichomonas vaginitis.

Treatment method: Usually after washing the vagina, use vaginal suppositories. Continuous treatment for 3 to 4 times will relieve the stinging and itching in the vagina. After that, daily treatment should be continued for about two weeks. If you want to cure Trichomonas vaginitis, you must be patient and continue the treatment. You cannot give up halfway, otherwise it will relapse again.

Candida vaginitis

The inflammation caused by vaginal infection with Candida albicans is called candidal vaginitis, which is most common in pregnant women. Candida can survive in an environment with low acidity.

Treatment: Take vaginal suppositories such as trichomoniasis and apply ointment to the genitals. Continue the treatment for at least 2 weeks. Candidal vaginitis can easily recur.

Gonorrheal vaginitis

Caused by gonococcal infection, vaginal discharge is yellow-green, and is accompanied by pus and foul odor. If not treated in time, it can cause bladder inflammation, endometritis, etc.

Treatment method: Use 100 grams of willow leaves, 15 grams of atractylodes, 15 grams of coptis, 15 grams of phellodendron, 20 grams of Patrinia chinensis, 15 grams of Cnidium monnieri, 30 grams of Pulsatilla striata, 30 grams of Sophora flavescens, and 15 grams of Kochia scoparia, and decoct in water. Wash the vulva while it is warm, 1 to 2 times a day. One course of treatment is 7 days. Generally, recovery can be achieved in 1 to 2 courses of treatment.

Nonspecific vaginitis

Vaginitis caused by bacteria other than Trichomonas, Candida and Gonorrhea, such as Streptococcus and Escherichia coli, exists at the same time, but the basic mechanism is still unclear, so it is collectively called nonspecific vaginitis.

Treatment method: Rinse the vagina with 15% lactic acid, 0.5% acetic acid or 1:5000 potassium permanganate solution, wipe dry and apply antibiotic emulsion or 9 powder, once a day, 10 days as a course of treatment.

Atrophic vaginitis

This type of inflammation is also called senile vaginitis. When women reach menopause, the function of their ovaries declines and the secretion of ovarian hormones decreases, causing the vaginal mucosa to become thinner and bacteria to breed in the vagina.

Treatment method: Usually use 1:5000 potassium permanganate to clean the vulva, insert diethylstilbestrol tablets or suppositories into the vagina, and estrogen can also be applied systemically, but treatment must be under the guidance of a doctor.

Vaginitis in young girls

Little girls often sit on the ground and play, or put their fingers into their vagina, which may cause contamination of the vulva and vagina and induce vaginitis.

Treatment method: Use pepper water or Liuyi powder (containing talc and licorice) to flush and clean the vagina and vulva to achieve the therapeutic effect.

Hospital examination items for vaginitis

Internal examination

For women who have sexual experience, obstetricians and gynecologists will use internal examinations, that is, ask the female patient to lie on the examination table, take off her underwear, and then put her feet on a specific bracket. The doctor will then use the gloved index and middle fingers to gently insert into your vagina and touch the cervix. At the same time, he will use the other hand to press the abdomen to check whether the uterus is enlarged, or whether the fallopian tubes or ovaries are enlarged or have tumors. This step is more suitable for people who already have sexual experience. Doctors generally will not do this for people who have no sexual experience because they are concerned about damaging the hymen.

Leucorrhea routine

Leucorrhea is a mixture of vaginal mucosal exudates, cervical and endometrial gland secretions, and its formation is related to the action of estrogen. The general leucorrhea routine test list has the following test items:

1) pH value: After puberty, due to the stimulation of ovarian sex hormones, the mucosal epithelial cells contain rich animal starch, which is decomposed by vaginal lactobacilli and converted into lactic acid, making the vaginal secretions weakly acidic, which can prevent pathogenic bacteria from multiplying in the vagina. This is the self-cleaning function of the vagina. The pH value is often used to indicate the acidity and alkalinity in laboratory tests. The normal pH is 4.5. When suffering from trichomoniasis or bacterial vaginitis, the pH value of leucorrhea increases and may be greater than 5-6.

2) Vaginal cleanliness can be divided into 4 levels:

Grade I: A large number of vaginal epithelial cells and vaginal bacilli are seen under the microscope.

Grade II: Vaginal epithelial cells, a small amount of white blood cells, some vaginal bacilli, and a small amount of miscellaneous bacteria or pus cells are seen under the microscope.

Grade III: A small amount of vaginal bacilli, a large number of pus cells and miscellaneous bacteria are seen under the microscope.

Grade IV: No vaginal bacilli are seen under the microscope, and except for a small amount of epithelial cells, there are mainly pus cells and miscellaneous bacteria.

Note: Grades Ⅰ to Ⅱ are normal, and grades Ⅲ to Ⅳ are abnormal leucorrhea, indicating vaginal inflammation.

3) Fungi and Trichomonas: After the leucorrhea is processed, the presence of Trichomonas or fungi can be detected based on its morphology under a microscope. If Trichomonas or fungi are present, regardless of the number, they will be indicated by a "+". The "+" symbol only means that the woman is infected with Trichomonas or fungi, and does not indicate the severity of the infection.

4) Amine test: The leucorrhea of ​​patients with bacterial vaginosis may have a fishy odor, which is caused by the amines in the leucorrhea being volatilized after being alkalized with potassium hydroxide.

5) Clue cells: Clue cells refer to the many bacilli aggregated at the edge of the vaginal epithelial cells in patients with bacterial vaginosis. In the hanging drop smear, the edges of the vaginal epithelial cells are granular or stippled, making them unclear. These are clue cells. They are the most sensitive and specific sign of bacterial vaginosis. Clinicians can make a diagnosis of bacterial vaginosis based on a positive amine test and the presence of clue cells.

Bacterial culture test (BV test)

A smear test of vaginal secretions is performed, and the results are available in 20 minutes. It can detect the pathogenic bacteria of bacterial vaginosis. If there is no mold or trichomonas and the cleanliness level is above 3, testing is required.

Mycoplasma and Chlamydia Detection

Cervical mucus testing can confirm non-gonococcal vaginitis caused by mycoplasma and chlamydia infection. If you have sex, especially if you have pain during intercourse, lower abdominal distension, more than two sexual partners, if your condition does not improve with continuous medication or recurs, or if you have cervical erosion, you need to be checked.

Antimicrobial susceptibility testing

If it is confirmed as non-gonococcal vaginitis, this experiment is very important to choose the antibiotic that is suitable for you, drug sensitivity test: S-sensitive, M-intermediate-sensitive, R-resistant.

Lifestyle measures to prevent vaginitis

Drinking yogurt can prevent vaginitis

Yogurt has always been one of the folk remedies for preventing and treating vaginitis, and clinical experiments have confirmed that drinking yogurt can indeed prevent vaginal Candida infection. Yogurt contains a large amount of live lactic acid bacteria, which can inhibit the excessive growth of other bacteria in the human body, including Candida albicans, and therefore has antibacterial and disease-preventing effects. Yogurt is not only inexpensive and good quality, but also rich in nutrients. It is an excellent product for disease prevention and health care. However, avoid fruit-flavored yogurt, as the high sugar content in it will nourish Candida.

Supplement fatty acids and eat garlic

Essential fatty acids and garlic ensure that you get enough fatty acids, which have anti-fungal properties. Essential fatty acids are found in nuts, seeds and fatty fish. Chewing a clove of raw garlic daily can be helpful while treating vaginal candidiasis.

Develop good hygiene habits

You should also wash your hands before going to the toilet; do not abuse unclean toilet paper; wipe the vulva from front to back after defecation; wash the vulva every day, change your underwear and put it in a ventilated place to dry; use your own basin and towel for your own use; wash underwear and socks in different basins; pay attention to hygiene during menstruation.

Wear loose cotton underwear and avoid tight pants.

When using public toilets, try to avoid sit-down toilets; take showers instead of taking baths in the bathroom; do not sit directly on the bathroom seat after bathing; do not swim in swimming pools that are not properly disinfected.

Do not over-clean the vulva, just clean it with clean water once a day, and do not clean the vagina;

Avoid excessive sexual activity, multiple sexual partners, and unclean sexual activity;

If you are sick, go to the hospital for treatment and don’t abuse medication on your own. Different types of vaginitis have different treatments. Improper use of medication can easily cause vaginal flora imbalance and lead to illness.

What to do if you have recurring candidal vaginitis

1. Rinse the vulva and vagina with 2%~4% soda water once a day, 10 times as a course of treatment.

2. Take one clotrimazole suppository each time, insert it into the vagina once a day, and one course of treatment is 7 days.

3. For systemic treatment, use ketoconazole, 200 mg each time, twice a day, for 5 consecutive days.