What are the symptoms of vaginitis?

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 is required to clarify the type of vaginitis and whether the vaginal microecology is damaged. The vaginal microecology is an ecosystem composed of vaginal microbial flora, the host's endocrine system, vaginal anatomical structure and vaginal local immune system. There are many types of normal vaginal microbial flora, including:

① Gram-positive aerobic bacteria and facultative anaerobes: Lactobacillus, Corynebacterium, non-hemolytic Streptococcus, Enterococcus and Staphylococcus epidermidis;

② Gram-negative aerobic bacteria and facultative anaerobic bacteria: Gardnerella, which has a Gram-staining variation and is sometimes Gram-positive, Escherichia coli and Morganella;

③ Obligate anaerobes: Peptococcus, Peptostreptococcus, Bacteroides, Mobiluncus, Fusobacterium and Prevotella;

④Others: including mycoplasma, Candida, etc. Different types of vaginal inflammation have different treatment methods. Local medication combined with systemic medication is required. Patients with Trichomonas vaginitis may have Trichomonas infection 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 therapeutic drugs are nitroimidazole drugs.