Patient's question:
Cleanliness: 3Epithelial cells: ++
WBC: +++
Pus cells: +
Vaginal discharge: Not seen
NG: Not seen
TV: Not seen
The doctor's results are: vaginitis, endometritis
The doctor didn't tell me which type of vaginitis it is. What type is it? How is it treated? Why are there still many small granulations on the labia majora?
Doctor's answer:
Hello, according to the description of the condition, since the bacterial test was negative, it falls under general vaginitis and does not require definitive identification. To completely cure vaginitis, in addition to the doctor's symptomatic treatment, patients must also actively cooperate and follow the doctor's instructions.① The husband or sexual partner should also undergo targeted treatment. In fact, besides gonococcal vaginitis and viral vaginitis, trichomoniasis and candidal vaginitis can also be transmitted sexually. Therefore, the husband or sexual partner is also likely to be infected with the disease, and if left untreated, it can lead to repeated infections in the patient.
② It is essential to complete the prescribed treatment course by the doctor. For most patients, if the medication is used correctly, the test results will show negative within a few days. However, this does not mean the condition is completely cured. In fact, some bacteria that were not fully eliminated may still be hiding under the mucous membrane. When the patient's immunity is weakened before the next menstrual period, these bacteria will resurface. Therefore, true vaginitis cure means achieving negative test results for three consecutive months, with medication taken for 7 days after each menstrual period.
③ Maintain cleanliness of the external genitalia and avoid sexual intercourse during treatment.
④ It is crucial to "treat" daily living items simultaneously. The patient's towels and underwear can also be contaminated with pathogens. If they are not treated in sync, the therapeutic progress will be wasted. Therefore, towels and underwear should be thoroughly disinfected: boil for 15 minutes and then dry them in the sun. They should also be stored in a well-ventilated and dry place.
⑤ Change underwear daily, and it is best to wear loose cotton underwear to maintain vaginal ventilation and dryness.