What should I do if I get senile vaginitis?

Patient's question:

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

Doctor's answer:

In your case, it is necessary to consider the possibility of developing atrophic vaginitis. The principle of treating atrophic vaginitis is to enhance vaginal resistance and inhibit the growth of bacteria.
I recommend the following:
1. Enhance vaginal acidity: Use a 1% lactic acid solution or a 0.1%-0.5% acetic acid solution to rinse the vagina to enhance vaginal acidity, inhibit bacterial growth and adaptation, once daily.
2. Place metronidazole effervescent tablets in the deep part of the vagina, once daily. A course of treatment lasts for 7-10 days.
3. Enhance vaginal resistance. For those with more severe inflammation, estrogen preparations should be used.

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