Patient's question:
Excessive discharge with a yellow color and a bad odor, often accompanied by itching in the external genital area. The symptoms appeared 5 years ago, and after seeking medical attention, the examination results indicated senile vaginitis. After using topical solutions and suppositories, the discomfort significantly improved, but the symptoms would recur after a period of discontinuation.Doctor's answer:
Hello, senile vaginitis is common in postmenopausal elderly women. Due to the decline in ovarian function and a significant reduction in estrogen levels, the vaginal wall atrophies, the mucosa becomes thin, the glycogen content in the epithelial cells decreases, the vaginal pH rises, and local resistance decreases, making it easier for pathogenic bacteria to invade and multiply, causing inflammation. The main symptoms include increased vaginal discharge and itching or burning sensation in the external genitalia.Suggestions: The treatment principle for senile vaginitis is to enhance vaginal resistance and inhibit bacterial growth and reproduction. For systemic medication, ethinyl estradiol can be taken orally, although it may sometimes cause withdrawal bleeding after administration. For local treatment, the vaginal pH can be adjusted, and potassium permanganate can be used to rinse the vagina. A vaginal suppository can also be inserted nightly.