How to differentiate fungal vaginitis

Among the many types of vaginitis, fungal vaginitis is a very common one. Suffering from fungal vaginitis will seriously torture the patient's health, and fungal vaginitis is easily confused with other diseases. Here I will introduce to you the differential diagnosis methods of fungal vaginitis, and I hope everyone will treat them separately.

Trichomonas vaginitis: There are no symptoms after infection. Symptoms include increased vaginal discharge, foamy, foul-smelling, purulent green discharge. Patients have vaginal erythema, and a "strawberry-shaped" cervix caused by capillary bleeding or punctate bleeding can be seen under vaginal speculum. The vulva has a burning sensation and itching, as if a bug is crawling, and can cause pain during sexual intercourse.

Bacterial vaginosis: Most patients with this disease are women of childbearing age. The onset is slow and the subjective symptoms are not obvious. The main manifestation is increased vaginal discharge.

(1) The pH value is higher than normal, reaching 5.0 to 5.5.

(2) The vaginal discharge is gray or gray-green, homogeneous, and has a paste-like consistency and may contain many bubbles.

(3) There is a foul smell like rotten fish. The odor of women becomes worse after menstruation or sexual intercourse, and the genitals of their sexual partners may also emit the same foul smell.

(4) A small number of patients with concurrent Trichomonas or Candida infection may experience vulvar itching, vaginal burning sensation, or pain during sexual intercourse.

Although healthy women carry Candida in their vaginas, and some special circumstances in life, such as long-term use of antibiotics and diabetes, can induce vaginal Candida infection, in many cases, candidal vaginitis can also be contracted from the outside. When a woman has sexual contact with a man with a positive Candida culture, the infection rate is 1/2 of the men who have sexual contact with women with candidal vaginitis. In other words, candidal vaginitis can be transmitted through sexual intercourse, which is why when a woman suffers from candidal vaginitis, her spouse must also receive treatment at the same time.

In addition, indirect contact transmission is also a transmission route for candidal vaginitis. Contact with toilets, bathtubs, bath seats, towels in shared toilets infected by fungal patients, and using unclean toilet paper can cause transmission. When the number of Candida albicans in the vulva and vagina of the infected person reaches a certain level, candidal vulvovaginitis can occur.

The above is an analysis of the differential diagnosis methods of candidal vaginitis. We hope that it can help patients. Since candidal vaginitis can cause great harm to patients, we must pay special attention to it, especially to grasp the differential diagnosis methods of candidal vaginitis, so as to achieve the best treatment effect.