What are the drugs for treating vaginitis?

What are the drugs for treating vaginitis?

Vaginitis is a common gynecological disease, also known as vaginitis, which can cause vulvar and vaginal symptoms such as itching, burning pain, irritation, and abnormal discharge. Due to the characteristics of anatomical tissue, the vagina of a healthy woman has a natural defense function against the invasion of pathogens. If the vaginal opening is closed, the front and back walls of the vagina are close, the vaginal epithelial cells proliferate under the influence of estrogen and surface cell keratinization, the vaginal pH remains balanced, inhibiting the reproduction of alkaline pathogens, and the cervical mucus is alkaline. When the natural defense function of the vagina is damaged, pathogens can easily invade, leading to vaginal inflammation.

When a woman's vagina is healthy, there will be aerobic and anaerobic bacteria in the vagina, forming a normal vaginal flora. Any reason that breaks the ecological balance between the vagina and the flora can also form conditional pathogens. Common clinical cases include: bacterial vaginosis, 22% to 50% of women have symptoms, candidal vaginitis, 17% to 39%, Trichomonas vaginitis, 4% to 35%, senile vaginitis, and juvenile vaginitis. Lactobacillus has the advantage of producing hydrogen peroxide in a normal vagina. Bacterial vaginosis is an endogenous mixed infection caused by a decrease in lactobacillus in the vagina and an increase in Gardnerella and anaerobic bacteria. After menopause, due to decreased ovarian function, decreased estrogen levels, vaginal wall atrophy, thinning of the mucosa, increased vaginal pH, and decreased local resistance, other pathogens overgrow or easily invade and cause inflammation, mainly aerobic bacteria. 10% to 40% of patients have no clinical symptoms. Symptomatic patients are mainly manifested by increased vaginal discharge and fishy odor, especially after sexual intercourse, which may be accompanied by mild vulvar itching or burning sensation. Examination of the vaginal mucosa showed no signs of congestion or inflammation, and the secretions were grayish white, uniform, thin, and often attached to the vaginal wall, and the secretions could be easily wiped off the vaginal wall.

When treating female vaginitis, oral medications are not very effective, and direct vaginal administration is more effective. It is recommended to pay attention to rest and keep warm, avoid fatigue, usually drink more hot water, and avoid raw, cold, spicy, and irritating foods.