How to treat vaginitis

How to treat vaginitis?

First, it is necessary to identify the type of vaginal inflammation. Different types of vaginal inflammation require different treatments. Local medication combined with systemic medication is required. Patients with trichomoniasis vaginitis may have multiple sites of trichomoniasis infection in the urethra, paraurethral glands, and Bartholin's glands at the same time. Systemic medication is required to cure this disease, and vaginal douching should be avoided. The main therapeutic drugs are nitroimidazole drugs.

1. Systemic medication: For the initial treatment, you can choose metronidazole 2g, taken orally once; or tinidazole 2g, taken orally once; or metronidazole 400mg, taken twice a day for 7 consecutive days. The cure rate of oral medication is 90%-95%. For patients taking metronidazole, avoid breastfeeding within 12-24 hours after taking the medication, and for patients taking tinidazole, avoid breastfeeding within 3 days after taking the medication.

2. Treatment of sexual partners Trichomonas vaginitis is mainly transmitted by sexual intercourse, so sexual partners should be treated at the same time, and patients and sexual partners should be informed to avoid unprotected sex before recovery. Fungal vaginitis, now also known as vulvovaginal candidiasis, is often treated with azole antifungal drugs.

For local medication, the following drugs can be placed deep in the vagina, such as clotrimazole preparations, 1 500mg tablet, single medication; or 1 150mg tablet every night, for 7 consecutive days; there are also miconazole preparations, 1 200mg tablet every night, for 7 consecutive days; or 1 400mg tablet every night, for 3 consecutive days; or 1 1200mg tablet, single medication; there are also nystatin preparations, 1 100,000U tablet every night, for 10-14 consecutive days. Systemic medication: For unmarried women and those who are not suitable for local medication, oral medication can be used. Commonly used drugs, such as fluconazole 150mg, taken all at once. For bacterial vaginosis, metronidazole topical medication can be considered. Combined with topical chlorhexidine acetate flushing treatment.