Senile vaginitis is common in postmenopausal elderly women, because of ovarian function decline, estrogen level decreased, vaginal wall atrophy, mucosal thinning, epithelial glycogen content decreased, vaginal pH value increased, local resistance decreased, pathogenic bacteria easy to invade and propagate and cause inflammation. So how to treat senile vaginitis? What treatment principles should be followed in the treatment?
The treatment principle is to increase the vaginal resistance and inhibit the growth of bacteria.
Local medication: 1% lactic acid or acetic acid or 1:5000 potassium permanganate solution to wash vagina once a day to improve vaginal acidity. After washing or every night, 0.25-0.5mg of ethambutol tablets or suppositories were inserted into the vagina for 7-10 days. Severe patients can be added with sulfanilamide powder or antibiotics (aureomycin, chloramphenicol, etc.) powder or ointment local spread or smear.
Systemic medication: 0.25-0.5mg of esculetin was taken orally once a day for 7-10 days, instead of local application. Withdrawal bleeding can be caused by taking it for too long or in large doses