Patient's question:
Vaginal discharge is yellow, laboratory test shows three "+" signs for white blood cells, odorless, medication cannot dissolve (due to dryness inside). What are some good treatment methods?Doctor's answer:
Local use of estrogen preparations has a direct therapeutic effect. You can choose estrone cream with only local action (brand name: Ovestin), 0.5g (containing 0.5mg of estrone) vaginally every night; Progesterone cream (Progest) 1 tablet vaginally every night, or Clonidine/Progest (Clonazepam) 1 tablet vaginally every night. When used locally, the combination estrogen cream (Premarin) and hexestrol cream has both local and systemic effects, 0.25-0.5mg vaginally every night. Oral estrogen, in addition to treating atrophic vaginitis, also helps relieve menopausal symptoms and is beneficial for the cardiovascular and skeletal systems of elderly women. However, when using estrogen, it is important to first rule out contraindications to estrogen, such as breast cancer, endometrial cancer, etc. Oral estrogen preparations, such as (1-2mg, once every 2 weeks, can be taken long-term), or natural estrogen, combined estrogen (Premarin), estradiol valerate (Hormone Replacement Therapy), or tibolone (Livial).