Why does my vagina itch and there is white stuff inside?

Nowadays, the probability of women suffering from gynecological diseases is increasing, and many women are troubled by gynecological diseases. Some women often feel a little itchy in their vagina, and there will be white objects at the same time. In fact, most of these situations are caused by vaginitis. Vaginitis can cause abnormal leucorrhea and vulvar itching, and needs to be treated promptly. Understanding vaginitis is of great significance for its treatment.

1. Bacterial vaginosis

In a normal vagina, lactobacilli that produce hydrogen peroxide are dominant. Bacterial vaginosis is an endogenous mixed infection caused by a decrease in Lactobacillus and an increase in Gardnerella and anaerobic bacteria in the vagina.

2. Candidal vaginitis

(1) 80% to 90% of pathogens are Candida albicans, which grow easily in an acidic environment and are diphasic (yeast phase and hyphae phase).

(2) The patient's vaginal pH is between 4.0 and 4.7, usually <4.5.

(3) Conditionally pathogenic bacteria (yeast phase → mycelium phase).

(4) Common causes: pregnancy, diabetes, and large-scale use of immunosuppressants and broad-spectrum antibiotics.

(5) Other contributing factors: gastrointestinal Candida, wearing tight synthetic underwear, and obesity.

3. Trichomonas vaginitis

(1) Trichomonas vaginalis grows best in a humid environment with a temperature of 25℃ to 40℃ and a pH of 5.2 to 6.6.

(2) The vaginal pH changes before and after menstruation, becoming close to neutral after menstruation, making it easier for Trichomonas to reproduce.

(3) The vaginal pH of patients is generally between 5.0 and 6.5, and most are >6.0.

(4) Parasitic on the vagina, urethra or paraurethral glands, bladder, renal pelvis, male foreskin folds, urethra, and prostate.

(5) Often coexists with other vaginitis.

4. Senile vaginitis

Postmenopausal women have declining ovarian function, lower estrogen levels, vaginal wall atrophy, thinning mucosa, increased vaginal pH, reduced local resistance, and other pathogens may over-multiply or easily invade and cause inflammation.

Different types of vaginitis have different treatments because of different pathogens. The editor recommends that women with abnormal leucorrhea go to the hospital for routine leucorrhea examination as soon as possible to identify their own pathogens. In addition, patients must pay attention to maintaining the hygiene of their genitals to avoid aggravating vaginitis due to bacterial growth.