Patient's question:
Hello, I've had itchy external genitalia for a few days, with excessive leukorrhea. After examination, I was diagnosed with vulvitis. How should vulvitis be treated effectively?Doctor's answer:
Considering the possibility of vaginitis, the first step should be to perform a routine examination of vaginal discharge to identify the type. Then, different medications should be used based on the type.1. Trichomoniasis vaginitis is characterized by localized vaginal pain and the recurrence of thin, foamy vaginal discharge. Metronidazole can be taken orally, while local use of metronidazole suppositories is recommended. Acidic solutions, such as acetic acid-chlorhexidine, can also be used.
2. Bacterial vaginosis, with mild symptoms, can be treated with povidone-iodine diluted 10-fold for cleaning. For more severe symptoms, a specialist doctor should be consulted to confirm the infectious microorganisms and prescribe oral medications for anti-infection treatment.