What are the symptoms of vaginitis, and what medication should be used?

Patient's question:

Expert: Hello! Last month I suffered from vaginitis, with main symptoms being: yellow discharge, sometimes with small particles like bits of debris! Sometimes foamy, thick discharge! With a fishy odor! Itching of the external genitalia! Later, I went to the hospital for treatment! They just said it was second-degree neuron-related vaginitis, but didn't specify the exact type? Later, it was cured! Now, the discharge is still a bit excessive, and there's a slight fishy odor? Hello! What type of vaginitis were those symptoms? What medication should be used? What medicine should I take regularly to prevent it?? Thank you!!!

Doctor's answer:

Hello, it is necessary to conduct a thorough examination of vaginal secretions to clearly classify the condition! The main symptoms of fungal vaginitis for diagnosis and patient care management are an increase in vaginal discharge, resembling curd-like consistency, and itching or irritation of the external genitalia and vagina. During a gynecological examination, the doctor may observe a layer of white membrane-like secretions adhering to the vaginal walls, which are difficult to remove. After removal, the mucosa appears red and swollen, or there may be bleeding points. When a vaginal discharge sample is smeared or cultured, fungi can be observed. After washing the vagina with 0.1% povidone-iodine, 3% hydrogen peroxide, or 2% sodium bicarbonate solution, the vaginal walls are then treated with 1% gentian violet or nystatin ointment (5 million units of nystatin per gram of petroleum jelly).

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