Vulvar allergy has these symptoms, be careful

Many people's vaginas do not have allergies, but the vagina's immunity is poor. When probiotics and bacteria collide, coupled with interference from hair, it can cause vulvar allergies and itching. This is mainly due to a lot of vaginal secretions, long-term purulent leucorrhea or leucorrhea with an odor, bacteria carried in leucorrhea, vaginal ulcers or too frequent sexual intercourse recently. These are all causes of vaginal allergies and need to be treated through medication principles and appropriate examinations.

Symptoms and signs

1. The main symptoms are increased vaginal discharge, which is purulent and bloody leucorrhea, and the discharge of rotten tissue with a foul odor.

2. Vaginal examination may reveal vaginal mucosal erosion and ulceration. If the disease lasts for a long time, extensive and hard scar adhesions may form in the vagina, causing vaginal stenosis or even atresia.

3. If there is blood or pus accumulation in the vagina or uterus, an anal examination may reveal a swollen vagina and enlarged uterus.

4. The occurrence of symptoms is clearly related to systemic or local medication.

Medication

1. Medication

(1) Antihistamines: There are mixed reports on the results of preventive antihistamine treatment, and there are almost no reports that oral antihistamines are effective for allergic vaginitis. Open and double-blind studies of antihistamine treatment are lacking.

(2) Cromolyn: In some women with allergic vaginitis, topical treatment with mast cell stabilizers can also slow the onset of symptoms. Patients with mild symptoms can use it before sexual intercourse, similar to antihistamines, but there is also a lack of open and double-blind studies to prove its exact effectiveness.

(3) Corticosteroids: They were used to completely control symptoms in a patient who had failed antihistamine treatment.

2. Immunotherapy

(1) Inhalation therapy: A series of reports suggest that inhalation therapy is one of the immunotherapies for alleviating the symptoms of allergic vaginitis. Mainly used for allergic reactions caused by pollen and house dust mites.

(2) Candida albicans: Moraes summarized the literature reports of 177 women with recurrent vaginal candidiasis who were treated with Candida albicans allergens. All patients had direct skin tests that were positive for Candida albicans, and the symptom relief rate was 65% to 80%. All patients were treated with this treatment after failure of other treatments. This treatment seems to be the only option for this type of patients, so there is currently a lack of double-blind controlled analysis studies on Candida albicans immunotherapy.

(3) Human seminal plasma: Subcutaneous immunotherapy using whole seminal plasma or semen fragments. Bernstein reported 100% success with this treatment. The vaginal route is another option. Before 1999, there were three reports of successful vaginal desensitization treatment with human seminal plasma. There is a 3-day interval between each course of treatment, and the desensitization state must be maintained during each course of treatment.

3. Treatment of patients allergic to human seminal plasma or to both seminal plasma and latex Treatment of seminal plasma allergy includes condom contraception, systemic antihistamines and vaginal pretreatment with sodium cromolyn. Immunotherapy with allergen proteins from the spouse's seminal plasma may be considered. Immunotherapy is not recommended for patients with local reactions. Some women are allergic to both semen and latex. They can use condoms made of sheep intestine, but such condoms cannot prevent HIV infection. Men use double-layer condoms, with a non-latex condom as the outer layer and a latex condom as the inner layer.