Vaginitis during pregnancy

If you find yourself suffering from vaginitis in the middle of pregnancy, it is very serious, because at this time you must not use some drugs indiscriminately for treatment, otherwise it will only make your symptoms become more serious, and even damage the growth and development of your fetus in your belly. Therefore, you can only take corresponding relief methods according to some of the symptoms that have already appeared.

1. Bacterial vaginosis

10% to 40% of patients have no clinical symptoms. Those with symptoms mainly present with increased vaginal discharge with a fishy odor, which is especially aggravated after sexual intercourse and may be accompanied by mild vulvar itching or burning sensation. Examination showed no signs of congestion or inflammation in the vaginal mucosa. The secretions were grayish white, uniform, thin, and often adhered to the vaginal wall, which could be easily wiped off.

2. Candidal vaginitis

(1) Vulvar itching, burning pain, and pain during sexual intercourse.

(2) Frequent and painful urination. The characteristic of dysuria is that urine irritates the edematous vulva and vestibule during urination, causing pain.

(3) Characteristic secretion: white, thick, and resembling curd or bean curd residue.

(4) Vulvitis presents with geographic erythema, edema, and scratches.

(5) Vaginitis may cause edema, erythema, and white membrane.

3. Trichomonas vaginitis

(1) Characteristics of increased vaginal discharge: thin, purulent, yellow-green, foamy, and smelly.

(2) Location of vulvar itching: vaginal opening and vulva.

(3) If combined with urinary tract infection: frequent urination, urgency, pain, and sometimes hematuria.

(4) Infertility: Trichomonas vaginalis can devour sperm, hinder the production of lactic acid, and affect its survival in the vagina.

(5) Examination revealed: congestion of the vaginal mucosa with scattered bleeding spots, and a large amount of "strawberry-like" leucorrhea from the posterior fornix of the cervix, which was grayish yellow, yellowish-white thin liquid, or yellowish-green purulent secretions, often in a foamy state. There are no abnormal changes in the vaginal mucosa of carriers.

4. Senile vaginitis

Increased vaginal discharge, vulvar itching, etc., are often accompanied by pain during sexual intercourse.

5. Childhood vaginitis

The main symptoms are vaginal purulent discharge and vulvar itching.

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 differential significance: pH 4.5 indicates mixed infection, especially 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.