What is the treatment for severe vaginitis?

Vaginitis can occur in women of any age, including infants and the elderly. The occurrence of the disease is related to vaginal hygiene and hygiene, and is more related to the washing and wearing of underwear. Timely discovery and treatment can cure the disease, but it is also easy to cause recurrence. If the treatment is not thorough, the vaginitis will become more serious and develop into severe vaginitis. So what is the treatment for severe vaginitis?

The main treatment methods are:

1. Bacterial vaginosis

The principle of treatment is to use anti-anaerobic drugs, mainly metronidazole, tinidazole, and clindamycin.

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

(2) Local drug treatment.

(3) Sexual partners do not require routine treatment.

2. Candidal vaginitis

(1) Eliminate the cause: If you have diabetes, you should be treated actively and stop using broad-spectrum antibiotics, estrogen and cortisol in time. Change your underwear frequently, and wash used underwear, basins, and towels with boiling water.

(2) Topical medications: miconazole suppositories, clotrimazole suppositories, and nystatin suppositories.

(3) Systemic medications (for patients with recurrent attacks or who cannot take vaginal medication): fluconazole, itraconazole, and ketoconazole.

(4) Sexual partners do not require routine treatment.

(5) Pregnancy complicated by Candida vaginitis is mainly treated with local treatment, and oral azole drugs are contraindicated.

3. Trichomonas vaginitis

(1) Local vaginal medication: Metronidazole vaginal effervescent tablets or 0.75% metronidazole gel, 1% lactic acid or 0.5% acetic acid solution flushing can relieve symptoms.

(2) Systemic medication: Metronidazole can be used for initial treatment, but the medication should be discontinued if side effects are detected. Do not drink alcohol during the use of metronidazole and within 24 hours of stopping the medication, and do not drink alcohol during the use of tinidazole and within 72 hours of stopping the medication. Breastfeeding is not recommended while taking the medication during lactation.

(3) Sexual partners should receive treatment at the same time and avoid unprotected sexual intercourse before recovery.

4. Senile vaginitis

The principle of treatment is to supplement estrogen, enhance vaginal immunity and inhibit bacterial growth.

5. Vaginitis in young girls

The principles of treatment are to keep the vulva clean, treat symptoms, and select antibiotics targeting the pathogen.

There are different types of vaginitis, and when it develops into a severe case, it must be treated according to the type of disease, so the drugs used are also different. Therefore, the treatment of vaginitis cannot be done indiscriminately, as it will likely lead to more serious gynecological diseases. During the treatment, the patient should protect the vulva from bacterial stimulation, start with cleaning and hand care, and then choose appropriate medication for treatment.