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Which woman should be vigilant vaginitis?

Which women should be alert to vaginitis? Vaginitis is a common problem in the outpatient department of Obstetrics and Gynecology, in which bacterial vaginitis, fungal vaginitis, and vaginal trichomonas infection account for more than 90%, which can also cause peculiar smell. Vaginitis is a common problem in the outpatient department of gynecology and obstetrics. Bacterial vaginitis, fungal vaginitis, and vaginal trichomonas infection account for more than 90% of the total, which can also cause peculiar smell. Do you know the symptoms and severity of gynecological inflammation?

Vaginitis is the inflammation of vaginal mucosa and submucosal connective tissue, which is a common disease in gynecological clinic. In normal healthy women, due to the anatomical and biochemical characteristics, the vagina has a natural defense function against the invasion of pathogens. When the natural defense function of the vagina is destroyed, the pathogens are easy to invade, leading to vaginitis. In young women and postmenopausal women, due to the lack of estrogen, the vaginal epithelium is thin, The content of glycogen in cells is reduced, and the vaginal pH is about 7, so the vaginal resistance is low, which is more susceptible to infection than adolescent and childbearing age women. The main clinical features of vaginitis are the change of the character of leucorrhea and the itching and burning pain of vulva. The pain of sexual intercourse is also common. When the infection affects the urethra, it can have the symptoms of dysuria and urgency. The common vaginitis are bacterial vaginitis, trichomonal vaginitis, fungal vaginitis and senile vaginitis.

The main clinical features of vaginitis are the change of the character of leucorrhea and the itching and burning pain of vulva. The pain of sexual intercourse is also common. When the infection affects the urethra, it can have the symptoms of dysuria and urgency.

The common vaginitis are bacterial vaginitis, trichomonal vaginitis, Candida vaginitis and senile vaginitis. Garder et al. Studied 1181 cases of vaginitis and found that 41% of them were bacterial, 27% were fungal and 24% were trichomonal. The incidence rate of senile vaginitis is 98.5% after menopause, after ovariectomy or pelvic radiotherapy.

1. Trichomonal vaginitis

Symptoms: leucorrhea increased, milky or yellow, sometimes purulent leucorrhea, often frothy, smelly, serious blood leucorrhea, urination, frequent urination, hematuria.

Harm: can be complicated with Trichomonas urethritis, cystitis, pyelitis, because Trichomonas can swallow sperm, can cause infertility, affect sexual life.

2. Mycotic vaginitis

Symptoms: pruritus of vulva, burning pain of vulva and vagina, increase of leucorrhea, like bean curd dregs, sometimes accompanied by frequent urination, frequent urination, urination pain, and sexual intercourse pain. During gynecological examination, white membranous substance can be seen on the inner side of labia minora and vaginal mucosa, and the red and swollen mucosal surface can be exposed after erasure. In acute stage, damaged erosive surface or superficial ulcer can be seen

Harm: not easy to cure, easy to repeat, lead to premature birth, fetal infection deformity, etc

3. Cervical erosion

Symptoms: caused by chronic cervicitis, more leucorrhea, yellow purulent or yellow color, waist and abdomen swelling or itching, less food, mental fatigue, less complexion, according to the size of erosion area, can be divided into mild, moderate and severe three kinds

Harm: cause vaginal adhesion, vaginal empyema or uterine empyema

4. Nonspecific vaginitis

Symptoms: vaginal drop feeling, burning, accompanied by pelvic discomfort and general fatigue. Vaginal secretions increased, purulent, serous, odorous. Because secretion stimulates urethral orifice, it can cause frequent micturition, urgency and pain.

Harm: cause vaginal adhesion, vaginal empyema or uterine empyema, easy to cause pelvic inflammatory disease, premature rupture of membranes and chorioamnionitis

5. Senile vaginitis

Symptoms: increased leucorrhea, yellow color, watery, severe purulent, smelly, sometimes bloody or with bleeding, pruritus or burning sensation of vulva, dry pain, lower abdominal distension, frequent micturition, urgency and pain when affecting urethra.

Harm: cause vaginal adhesion, vaginal empyema or uterine empyema.

6. Bacterial vaginitis

Symptoms: leucorrhea increased, gray white, thin, frothy. Vaginal mucosa congestion, scattered bleeding points, vulva pruritus and burning pain, pudendal stench

Sexual intercourse inflammation, genital infection, etc.