What is vulvitis? Professional doctors are here to answer!

Vaginitis is common among women. We need to note that there is a difference between what people often call vaginitis and vulvitis. The so-called vulvitis, the symptoms mainly appear in the vulva, the skin of the vulva will have rashes, if you scratch it with your hands at this time, it is easy to scratch the skin, and then erosion is easy to occur. Therefore, you should avoid scratching with your hands, and avoid underwear causing friction on the vulva, etc. Let's take a detailed look at vulvitis, a common gynecological disease.

What is vulvitis?

Vulvitis is an inflammation of the vulva caused by invasion of pathogens or various adverse stimuli. It can exist independently, but is more often complicated by vaginitis, urinary tract diseases, anorectal diseases or systemic diseases, or is one of the manifestations in the pathological process of certain vulvar diseases. The clinical manifestations are itching, pain, burning sensation and even swelling, rash, erosion and ulcers of the vulvar skin.

Clinical manifestations

The vulvar skin may experience itching, pain, burning sensation, and even swelling, rashes, erosions, and ulcers. If the disease lasts for a long time, the skin may become thickened, rough, cracked, and even become lichenified. Common types of vulvitis include:

1. Nonspecific vulvitis

Most of them are mixed infections of Staphylococcus, Streptococcus and Escherichia coli.

2. Fungal vulvitis

It often exists simultaneously with candidal vaginitis, and bean curd-like secretions can be seen, and the surface of the lesions is sometimes covered with white moss-like substances.

3. Vulvitis in infants and young children

The vulvar skin and mucous membranes become red, itchy and painful, which can lead to labia adhesion.

4. Bartholinitis

The labia majora on one side becomes red, swollen, hot and painful, and a lump forms in the lower 1/3 of the labia majora, which is fluctuating and tender, indicating a Bartholin's gland abscess. Abscesses sometimes burst on their own.

5. Sexually Transmitted Diseases

Genital warts, chancroid, genital herpes, gonorrhea, etc.

examine

1. Gynecological examination.

2. Examination of vaginal secretions.

3. Perform systemic examination and related serum, tissue pathology and other examinations when necessary.

Differential Diagnosis

Vulvar diseases that need to be differentiated include: vulvar eczema, vulvar neurodermatitis, vulvar psoriasis, chronic hyperplastic vulvitis, sexually transmitted diseases and vulvar cancer. Histopathological examination is crucial for differential diagnosis.

treat

1. Actively and effectively treat the primary disease.

2. Local treatment: Keep the vulva clean and dry to avoid adverse stimulation. Choose different liquid medicines for sitting baths, and apply antibiotic ointments, antifungal preparations, etc. to the vulva.

3. Antibiotics can be used appropriately for patients with fever and increased white blood cell count.