How does vaginitis occur and how should it be treated?

Patient's question:

Female, 30 years old, I don't know what the situation will be. Later, I found out that I had an illness. Please ask: How does vaginitis occur and how is it treated?

Doctor's answer:

Normal healthy women have a natural protective function against the penetration of pathogens due to the anatomical and tissue characteristics of the vagina. For example, the closure of the vaginal orifice, the close proximity of the anterior and posterior vaginal walls, the fibrosis of vaginal epithelial cells under the influence of estrogen, and the keratinization of epidermal cells all contribute to this. The vaginal pH is always maintained between 4-5, which inhibits the adaptation of pathogens that restore alkalinity, such as anaerobic bacteria. When the natural protective function of the vagina is compromised, pathogens are more easily able to penetrate, leading to recurrent vaginal inflammation. For trichomoniasis vaginitis treated with systemic medication, it is often accompanied by trichomoniasis in the urinary and reproductive systems as well as the intestines. Simple local medication is not effective in completely eliminating the trichomonads, so systemic medication should be used. Oral medication is well-absorbed, highly effective, low-toxicity, and convenient to use. The husband or sexual partner also needs to be treated simultaneously.

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