Patient's question:
Medical history: One monthDetailed condition and consultation purpose: I went to see a doctor three weeks ago. The doctor said I had vaginitis because the lower part of my vagina (the point below the labia majora) was scratched a few times, causing a break. The doctor prescribed three days of red light and BOM light treatment, and then asked me to take medication at home, rinse, and use medication suppositories. A week has passed, my period came, and now it's been six days. However, there are small red bumps at the back of my buttocks, and they are very itchy. I keep scratching them, and they break. My mom says it's eczema. I don't know if the doctor can give me some advice or tell me how to manage my daily life.
Vaginitis and cervix
Doctor's answer:
HelloVaginitis
Vaginitis refers to a group of inflammatory diseases of the vaginal mucosa caused by various etiologies. Under normal physiological conditions, the anatomical and biochemical characteristics of the vaginal tissue are sufficient to defend against external microbial invasion. If this defense mechanism is compromised, pathogens can take advantage of the situation and, under various factors, lead to vaginal inflammation.
① Non-specific vaginitis: The external genitalia and vagina may experience a sensation of heaviness and burning. There is significant shedding of vaginal epithelial cells, congestion of the vaginal mucosa, and pronounced tenderness. In severe cases, symptoms may include general fatigue, discomfort in the lower abdomen, excessive vaginal discharge (purulent or serous in nature), which can irritate the urethral opening, leading to frequent urination and dysuria.
② Candidal vaginitis: The most prominent symptoms of this condition are increased vaginal discharge and intense itching of the external genitalia and vagina. When symptoms are severe, individuals may feel restless and extremely uncomfortable, and may also experience frequent urination, dysuria, and pain during intercourse. The vaginal discharge is thick and creamy, resembling cottage cheese, and the vaginal mucosa is highly edematous, with white, patchy membranes attached that are easily removable. Below these membranes, there may be eroded mucosal bases or shallow ulcers, and in severe cases, bruises may be left behind. Another subset of patients may have copious watery or purulent discharge without white patches, with moderate redness and edema of the vaginal mucosa, minimal itching or burning, and only a sensation of dampness in the external genitalia.
③ Trichomoniasis: The vaginal discharge is increased and yellowish-white, occasionally tinged with yellowish-green pus, often foamy, and has a foul odor. In severe cases, it may contain blood. Other symptoms include lower back pain, frequent urination, dysuria, external genital itching, and dull lower abdominal pain. The vaginal mucosa is red and swollen, with scattered bleeding points or strawberry-like elevations, and occasionally causes pain during intercourse.
④ Senile vaginitis