Patient's question:
I am 70 days post-caesarean section and currently breastfeeding, with no sexual activity. Due to increased yellow discharge and blood in the discharge over the past two days, a check-up revealed a discharge cleanliness level of four, diagnosing vaginitis and mild cervical inflammation. The bleeding is due to poor recovery after the caesarean section and endometrial bleeding.Will this type of vaginitis recur? Can it infect the child? What should I do about the endometrial bleeding? Do I need to stay in bed all the time?
Doctor's answer:
Hello: 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 candidiasis can also be transmitted sexually. Therefore, the husband or sexual partner may also 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, as long as the medication is used correctly, test results will show negative within a few days. However, this does not mean the infection is completely gone. In fact, at this point, some undestroyed bacteria are hiding beneath the mucosa, and when the patient's immunity is weakened before the next menstrual period, they will reappear. Therefore, true vaginitis cure means having negative test results for three consecutive months, each time after taking medication for 7 days following the menstrual period.
③ During treatment, maintain cleanliness of the external genitalia and avoid sexual intercourse.
④ It is essential to "treat" living utensils simultaneously. The patient's towels and underwear can also be contaminated with pathogens. If they are not treated in sync, the treatment results 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 briefs to maintain vaginal ventilation and dryness.
Symptoms of vaginitis in women:
1. Trichomoniasis
Symptoms: Increased vaginal discharge, which is milky or yellowish, sometimes