What department should I go to for vaginitis?

If you feel that you have some abnormal vaginal discharge, or back pain, you should get checked in time, because this may be caused by vaginitis. Once this disease occurs, it will seriously endanger your body, so you must go to the gynecology department for a check-up in time, so that you can intuitively judge whether such disease symptoms have occurred inside your body.

1. Examination of secretions

Vaginal secretions, prostatic fluid, and urine are examined for Trichomonas vaginalis by smear microscopy or culture. Vaginal discharge is often yellow and purulent.

2. Stool examination

Take stool or bile to check for human Trichomonas.

3. Alveolar pus examination

Take alveolar pus to check for oral Trichomonas.

1. Bacterial vaginosis

(1) Vaginal discharge is milky and homogeneous with a foul odor.

(2) Vaginal pH>4.5.

(3) Amine test is positive.

(4) Clue cell positive (>20%).

A clinical diagnosis can be made if 3 of the above 4 items are positive, and the 4th item is the gold standard for diagnosis.

2. Candidal vaginitis

For women with symptoms or signs of vaginitis, the diagnosis can be confirmed by finding spores or pseudohyphae of Candida albicans in vaginal secretions. pH determination has a discriminatory significance: pH < 4.5 indicates a simple infection, and pH > 4.5 indicates a mixed infection, especially a mixed infection of bacterial vaginosis.

3. Trichomonas vaginitis

(1) The diagnosis can be confirmed by finding Trichomonas in vaginal secretions. Hanging drop method (accuracy 80% to 90%); culture method (accuracy 98%).

(2) Avoid washing, applying medicine, or examining the sample 24 to 48 hours before sampling. Keep the sample warm after sampling and send it for examination promptly.

4. Senile vaginitis

The diagnosis is generally not difficult based on the history of menopause, ovarian surgery, pelvic radiotherapy or drug-induced amenorrhea and clinical manifestations, but other diseases should be excluded before diagnosis.

5. Vaginitis in young girls

Infants and young children have poor language expression ability, so collecting medical history often requires detailed questioning of the girl's mother, and also asking the mother whether she has a history of vaginitis. A preliminary diagnosis can usually be made based on symptoms and physical examination findings.

1. Bacterial vaginosis

The principle of treatment is to use anti-anaerobic drugs, mainly metronidazole, tinidazole, and clindamycin. Caution: Disulfiram-like reactions may occur with both oral and topical metronidazole.

(1) Oral medication: Metronidazole is the first choice.

(2) Local drug treatment.

(3) Sexual partners do not require routine treatment.