What are the symptoms of vaginitis?

Common symptoms of vaginitis include the following:

1. Vulvar itching and burning pain: The patient's vulva will be itchy, vaginal discharge will increase, there will be a foul and fishy smell, and it will also be accompanied by burning pain, pain during sexual intercourse, frequent urination, and painful urination.

2. Increased leucorrhea: The leucorrhea appears abnormal, is yellow watery or purulent, has a foul odor, and in severe cases may cause urethral bleeding, pain, and vaginal burning sensation.

3. Abnormal vaginal secretions: When vaginitis is severe, a large amount of yellow-green or gray foamy secretions will appear, with a fishy smell, and mixed with blood or hemorrhagic purulent secretions. These secretions contain a large number of pathogens and can cause vulvar itching. Clinical examination will reveal small red particles or petechiae in the vaginal mucosa.

If the above symptoms occur clinically, vaginal secretion testing needs to be improved. Clarify the type of vaginitis and whether the vaginal microecology is destroyed. The vaginal microecology is an ecosystem composed of vaginal microbiota, the host's endocrine system, vaginal anatomical structure and vaginal local immune system. There are many types of normal vaginal microbiota, including: ① Gram-positive aerobic bacteria and facultative anaerobes: Lactobacillus, Corynebacterium, non-hemolytic streptococci, enterococci and Staphylococcus epidermidis; ② Gram-negative aerobic bacteria and facultative anaerobes: Gardnerella, which has a Gram staining variation and is sometimes Gram-positive, Escherichia coli and Morganella; ③ Obligate anaerobes: Peptococcus, Streptococcus, Bacteroides, Mobiluncus, Fusobacterium and Prevotella; ④ Others: including mycoplasma, Candida, etc. Different types of vaginal inflammation are treated differently. Local medication combined with systemic medication is required. Patients with trichomoniasis vaginitis may have trichomoniasis in multiple parts of 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 treatment drugs are nitroimidazoles.