Patient's question:
What are the differences between acute and chronic vaginitis?My vaginitis has been treated many times, but it doesn't seem to be completely healed each time. Could it have become chronic? If it is chronic, how should it be treated? How long does it take? First follow-up question: Thank you very much for the answer from Director Yijianpiaoxue.
So is my current condition chronic vaginitis? Is it very difficult to treat?
Doctor's answer:
I. Symptoms of Chronic Cervicitis:Chronic cervicitis is often caused by pathogens invading the cervix after childbirth, miscarriage, or surgical injury. It has multiple manifestations, such as cervical erosion, cervical hypertrophy, cervical polyps, and cervical glandular cysts, with cervical erosion being the most common.
The main symptom of chronic cervicitis is an increase in leukorrhea. The leukorrhea is typically creamy and mucous-like, sometimes yellow or purulent. When polyps form, it may result in bloody leukorrhea or post-coital bleeding. When the inflammation spreads to the pelvic cavity, it may cause lower back and sacral pain, lower abdominal heaviness, and dysmenorrhea. These symptoms may worsen before or after menstruation, after defecation, and after sexual activity. In some cases, it may also be accompanied by frequent urination, difficulty urinating, menstrual irregularities, and infertility.
II. Symptoms of Acute Cervicitis:
In acute cervicitis, leukorrhea is purulent, accompanied by lower abdominal and sacral pain, or urinary symptoms such as frequent urination, urgency, and dysuria. In chronic cervicitis, leukorrhea is creamy and mucous-like or light yellow and purulent. In cases of severe cervical erosion or cervical polyps, it may be bloody leukorrhea or post-coital bleeding. Mild cases may have no systemic symptoms. When the inflammation spreads along the uterosacral ligaments to the pelvic cavity, it may cause lower back and sacral pain, lower abdominal heaviness, and dysmenorrhea, which worsen during defecation or sexual activity. Additionally, viscous purulent leukorrhea can hinder sperm passage, potentially leading to infertility.