How to handle atrophic vaginitis

Patient's question:

Watery white discharge, yellow in color, no odor, no pain or itching. Onset time of about one year. Test results: mold, trichomonas (-), white blood cells (+++). Previous treatment and effectiveness: oral nitrofurantoin, vaginal gel used, no significant improvement. Desired help: How to remove the condition

Doctor's answer:

The treatment of senile vaginitis can be performed by local medication in the vagina, such as using a 1% lactic acid or acetic acid solution or a 1:5000 potassium permanganate solution to rinse the vagina once daily to increase vaginal acidity. For more severe inflammation, estrogen therapy can be supplemented. Estriol 0.125–0.25 milligrams is placed in the vagina once nightly, with 7 days constituting one course. For stubborn cases, oral norethisterone can be administered: the initial dose is 4 milligrams, followed by 2–4 milligrams every 2–4 weeks, maintained for 2–3 months. In fact, having vaginitis is not something to be afraid of. Patients should believe that they can overcome the illness. As long as symptoms are detected early and treated accordingly, the chances of alleviating the condition and recovering are very high.

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