Excessive vaginal discharge and itching in the lower body bother most female friends. There are many reasons for this. The most common one is that female friends are infected with vaginitis, which is one of the most common gynecological diseases. The best way is to go to the hospital for examination and treatment as soon as possible. Here, I will give you a detailed introduction to what causes excessive vaginal discharge and itching in the lower body. I hope every female friend can understand this for the sake of their own body. Vaginitis is an inflammation of the vaginal mucosa and submucosal connective tissue and is a common disease in gynecological clinics. Due to the anatomical and biochemical characteristics of normal healthy women, the vagina has a natural defense function against the invasion of pathogens. When the natural defense function of the vagina is damaged, pathogens can easily invade and cause vaginal inflammation. Due to estrogen deficiency, young girls and postmenopausal women have a thin vaginal epithelium, reduced intracellular glycogen content, and a vaginal pH of around 7. Therefore, the vaginal resistance is low and they are more susceptible to infection than adolescents and women of childbearing age. The main clinical features of vaginitis are changes in the nature of leucorrhea and itching and burning pain in the vulva. Dyspareunia is also common. When the infection involves the urethra, there may be symptoms such as urinary pain and urgency. Common vaginitis includes bacterial vaginosis, trichomonas vaginitis, candidal vaginitis, senile vaginitis Common vaginitis includes bacterial vaginosis, Trichomonas vaginitis, Candidal vaginitis, and senile vaginitis. Garder et al. studied 1,181 cases of vaginitis and found that 41% were bacterial, 27% were fungal, and 24% were Trichomonas. Senile vaginitis occurs after menopause, oophorectomy or pelvic radiotherapy, and its incidence rate is reported to be as high as 98.5%. 【Examination of vaginitis】 1. Gynecological examination: Through routine gynecological examination, preliminary screening of possible sexual diseases is carried out, and secretion samples are taken for necessary examinations. 2. Vaginal secretion examination: Check the cleanliness of the vagina and whether there is infection with fungi, trichomonas, or bacteria (clue cells, pus cells). 3. Vaginal secretion culture: Check which pathogen is causing the infection and provide doctors with accurate diagnosis basis. 4. Drug sensitivity test: detect which drugs the pathogens are sensitive to, so that targeted medication can be used to improve treatment effects. 5. American True Color Electronic Colposcopy: It can magnify 50 times to accurately and clearly observe the relevant lesions in the vagina, cervix and other parts, and accurately select suspicious parts for live examination. It has a very high value for the early detection and early diagnosis of cervical cancer and precancerous lesions. Treatment of vaginitis (1) General treatment: Actively treat other diseases that may cause vaginitis and eliminate susceptible factors. Keep the vulva clean and dry and avoid scratching. Sexual intercourse is prohibited during treatment. It is not advisable to eat spicy and irritating foods. (2) Changing the pH value of the vagina: The most suitable pH value for the growth of Candida is 5.5. Therefore, using alkaline solutions to flush the vulva and vagina can change the pH value of the vagina and inhibit the growth and reproduction of fungi. You can use 2% to 4% baking soda water to flush the vagina 1 to 2 times a day, and one course of treatment is 2 weeks. After flushing, wipe the vulva dry and keep it dry to inhibit the growth of Candida. (3) Vaginal medication: Using imidazole suppositories for vaginal medication has a good effect on candidal vaginitis. Take 1 clotrimazole suppository every night and insert it into the vagina after flushing. 10 to 14 days is a course of treatment; or take 1 Daktarin suppository every night and insert it into the vagina after flushing. 7 days is a course of treatment. (4) Topical ointments: Applying clotrimazole ointment or dacrylin ointment externally can treat vulvitis caused by fungal infection and relieve symptoms of vulvar itching and pain. Apply externally several times daily for 2 weeks. Yifuqing Ointment is made of econazole as the main drug, with a small amount of local steroid therapeutic agent added. It has a good antipruritic effect and is more suitable for people with candidal vulvitis and vaginitis who have unbearable vulvar itching and pain. Apply externally to the vulva, once in the morning and once in the evening. (5) Oral medication: Since fungal infections can be transmitted between couples through sexual intercourse, both parties can be treated with oral medication, which can also inhibit intestinal Candida albicans. Fluconazole oral dose: 150 mg once, taken all at once. Or take Sporanox orally: If it is the first infection of candidal vaginitis, take 200 mg each time, take it after breakfast and dinner, and only take it for 1 day; if it is recurrent candidal vaginitis, the dosage of Sporanox needs to be increased, you can take 200 mg each time, once a day, for 3 consecutive days, or you can take it twice a day, 100 mg each time, for 3 consecutive days. Take the medicine after meals. (6) Treatment with Chinese herbal medicine: Use Chinese herbal decoctions that have the effects of clearing away heat and detoxifying, killing insects and relieving itching to fumigate and wash the vulva, which can not only relieve symptoms but also inhibit and eliminate Candida albicans. Since the patient's vulvar itching, pain and burning symptoms are significantly alleviated after fumigation, it is more suitable for women with acute candidal vaginitis and can relieve the patient's pain. In addition, Chinese herbal medicines can be made into powders or suppositories and applied vaginally. After the detailed introduction above, I believe everyone has their own understanding of what causes excessive vaginal discharge and itching in the lower body. In fact, the most common possibility is vaginitis. It is best for everyone to pay attention to maintaining hygiene and not relax after treatment to avoid recurrence. Finally, I wish all female patients and friends a speedy recovery. |
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