How to treat atrophic vaginitis?

How to treat atrophic vaginitis?

For most women, after entering middle age, the functions of various organs in their bodies will decline, including the ovaries. So some people often suffer from atrophic vaginitis, and even develop bacterial vaginitis as a result. So when they reach a certain age and develop this disease, do they need treatment? How to treat it? I believe you will understand after reading the introduction below.

Atrophic vaginitis occurs because the epithelium becomes thinner, secretions decrease, and resistance decreases, which are insufficient to resist the invasion of vaginal bacilli (which change from normal bacilli to conditional pathogens due to environmental changes), resulting in bacterial inflammation. At this time, local estrogen supplementation is enough. We often find that in the vaginal secretions of menopausal women, the number of neutrophils increases, while the number of bacilli decreases, which is the normal resistance of the group.

In fact, no matter how the epithelium shrinks, the regeneration, repair of the epithelium and the increase in neutrophils are sufficient to cure atrophic vaginitis. The problem is that for some patients, vaginal epithelial atrophy is only a triggering factor, and the determining factor is the invasion of other pathogens. At this time, the purpose of curing and self-healing of vaginitis cannot be achieved by simply supplementing estrogen or relying on one's own resistance. At this time, a vaginal cytology examination is needed - scrape the mucosal cells from the middle 1/3 of the vaginal side wall or the cervix, smear, and fix with 95% alcohol wet mount for examination.

Cytological examination not only checks the morphology of cells and excludes tumors and preneoplastic lesions, but also observes whether the morphology of bacteria is abnormal and whether there are Trichomonas and fungi. The examination results of most patients can guide clinical medication. However, it also has limitations. It cannot identify the type of bacteria, and it is difficult to identify chlamydia and viruses, and requires other auxiliary examinations.

There are also a small number of patients with symptoms of atrophic vaginitis who are ineffective with conventional treatments and whose pathogens cannot be detected through general examinations. This requires clinicians to pay attention to the patient's systemic condition (such as the presence of diabetes, allergies, Sjögren's syndrome, folic acid deficiency, macrocytic anemia, female malnutrition, etc.), and then conduct a comprehensive analysis based on the vulvar manifestations.

By carefully reading the above text, you have already learned a lot about atrophic vaginitis. The aging of the human body is normal. As long as you maintain a positive and healthy attitude, there are better ways to deal with anything. If atrophic vaginitis is pathological, rapid treatment is quite necessary.

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