Vaginitis is the most common gynecological diseases, the incidence of all ages can be. Vaginitis can be divided into non-specific vaginitis, trichomonas vaginitis, vaginal yeast Candida disease, bacterial vaginosis, senile vaginitis, vulvovaginitis in infants and young children and so on.

Non-specific vaginitis due to the vulva and the urethra, anus approaches, often blood, vaginal secretions, urine, feces stimulus, if not attention to skin cleansing easily cause vulvitis, vaginitis. Non-specific vaginitis clinical manifestations of genital skin, mucous itching, pain, burning pain, checking the skin congestion, swelling, erosion, often scratches, the formation of severe ulcers or herpes. Treatment to local treatment mainly hip bath with 1:5000 potassium permanganate solution, 2 times a day, every 15 to 30 minutes; available coated with antibiotic ointment; can also be used traditional Chinese medicine decoction Fumigation genitals daily 1 ~ 2 times. Active treatment causes diabetes should be treated if found in diabetes.

Trichomonas vaginitis caused by Trichomonas vaginalis is a common vaginitis. Trichomoniasis is not only parasitic in the vagina, but also often invaded paraurethral glands, or even bladder, renal pelvis, as well as male foreskin folds, urethra, or prostate. Mode of transmission of direct sexual transmission can also be spread indirectly, through the public bath, bathtub, towels, swimming pools, Toilet, clothing and other infections. Clinical manifestations of genital itching, burning, leucorrhea more typically characterized by secretions thin purulent, yellow-green, foam-like, there is the smell. Trichomoniasis can be found in vaginal secretions confirmed.Initial treatment options metronidazole 2gb, or single oral 400mg metronidazole daily 2 ~ 3 times, even served 7. Can not tolerate oral medication can choose vaginal delivery, metronidazole vaginal effervescent tablets 200mg, day 1, for 7 times. Trichomonas vaginitis mainly by sexual transmission, sexual partners should also be treated to prohibit sexual intercourse during treatment. Most cases of recurrence of symptoms for recurrent infections, in order to avoid recurrence of infection, underwear and towels used for washing should be boiling 5 to 10 minutes to eliminate pathogens, and respond to sexual partners for treatment.

Vulva vaginal yeast pathogen Candida 90% of Candida albicans, 10% smooth and Candida. Candida albicans as opportunistic pathogen, systemic and local cellular immunity of the vagina fall, Candida yeast blooms, common predisposing factors are pregnancy, diabetes, a large number of application of immunosuppressive agents and broad-spectrum antibiotics. Vulvovaginal candidiasis is mainly endogenous disease transmission, not only as the condition of Candida vaginal parasitic pathogens, but also may be parasitic in the human mouth, gut and can cause infection if conditions are right. These three parts of each other Candida infections, a small number of patients can be directly transmitted through sexual intercourse or through contact with infected clothing indirect transmission. Clinical manifestations of genital itching, burning, dysuria, serious feel restless, but also accompanied by urinary frequency, dysuria, and sexual intercourse pain, some patients an increase in vaginal secretions, secretions is characterized by white thick bean curd residue samples. Vaginal mucosa shows edema, erythema, labia minora and vaginal mucosa attached to the inside of a white lumps, inflamed mucous membrane surface exposed after the erasure, erosion, and acute superficial ulcers can be seen. If secretions found in Candida albicans can be diagnosed. Treatment of the disease should eliminate the incentives, if diabetes should be actively treated promptly disable broad-spectrum antibiotics, estrogen, and corticosteroids. Qin wash underwear, used underwear, basins and towels were scalded with boiling water wash. Miconazole topical may choose 400mg vaginal suppository every night once, used in conjunction three times; clotrimazole suppositories 500mg, a single vaginal delivery; nystatin suppositories 100,000 μ, used in conjunction 10 to 14 days. That can not tolerate topical unmarried women and those who may be reluctant to use topical use of oral drugs, itraconazole 200mg, once a day qd for 3 to 5 days; or use of day treatment, 400mg twice taking the .

Bacterial vaginosis is a kind of normal vaginal flora imbalance caused by a mixed infection. When bacterial vaginosis lactobacilli decrease, mainly Gardnerella increased. Clinical manifestations of mild genital itching, secretions thin homogeneous, there are fish smell. Laboratory examination clue cell-positive; ammonia smell test positive; vaginal PH value of “4.5 be confirmed. Preferred oral drug metronidazole, 2 to 3 times a day, and even served on the 7th. Metronidazole vaginal effervescent tablets 200mg, every night one time, for 7 ~ 10 days.

Senile vaginitis due to post-menopausal women with low estrogen levels, vaginal wall atrophy, mucosal thinning, partial resistance is low, bacteria cause inflammation of the vagina easily penetrated. Clinical manifestations leucorrhea more genital itching, burning sensation, vaginal examination showed atrophy, epithelial folds disappeared, showed punctate congestion. Sometimes see superficial ulcers. According to menopause, history of ovarian surgery, pelvic radiation history, not difficult to diagnose. Treatment should inhibit bacterial growth, using metronidazole vaginal effervescent tablets 200mg, once a day, a total of 7. Increase in vaginal resistance can be combined with topical estrogen cream, 2 times a day; the body can be taken orally Nylestriol the first time, 4mg, thereafter every 2 to 4 weeks 1 times, each time 2mg, to maintain 2 to 3 months.