How should vulvitis be treated

Patient's question:

I mainly want to resolve the issue of vulvitis, which has cracks and areas that have been scratched, appearing like small bleeding spots. How should I treat it? Blood tests say there are no herpes, but the scratched and bleeding areas resemble small blisters. What about bacterial vaginosis and vulvitis?

Doctor's answer:

Bacterial vaginosis is primarily a type of vaginitis caused by Gardnerella vaginalis, which can be spread through sexual contact. Bacterial vaginosis is a condition resulting from an imbalance in the vaginal ecosystem, where Gardnerella vaginalis and other anaerobic bacteria increase while lactobacilli decrease.
Recommendations:
1. Women may use a 1% lactic acid or pH 4 weak acid-formulated feminine hygiene product for vaginal douching to restore the normal physiological environment and inhibit bacterial growth.
2. Lactobacillus therapy and lactobacillus preparations are commonly used abroad. Lactobacillus therapy is primarily applied through vaginal douching or as suppositories placed inside the vagina.
For severe cases of vulvitis, it is recommended to seek medical attention promptly and follow the doctor's advice for timely treatment. Avoid switching medications arbitrarily, as this may lead to counterproductive effects.

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