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 side 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 arrived, and now it's the sixth day. However, there are small red bumps at the back of my buttocks, and they are very itchy. I keep scratching them, causing them to break. My mom says it's eczema, but 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 these defenses are compromised, pathogens can take advantage of the situation and lead to vaginal inflammation due to various factors.
① Non-specific vaginitis: The external genitalia and vagina may experience a sense 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, lower abdominal discomfort, increased vaginal discharge (purulent or serous), and external discharge irritating the urethral opening, which can lead 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. Severe symptoms may cause restlessness and extreme distress, along with frequent urination, dysuria, and pain during intercourse. The vaginal discharge is thick, white, and curd-like, with the vaginal mucosa showing severe edema. White, patchy membranes adhere to the mucosa and are easily removable, revealing eroded bases or shallow ulcers beneath. In severe cases, bruising may be left behind. Another subset of patients may have copious watery or purulent discharge without white curd-like patches, with moderate vaginal redness and edema, 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 mild lower abdominal pain. The vaginal mucosa is red and swollen, with scattered bleeding points or strawberry-like elevations. It may occasionally cause pain during intercourse.
④ Senile vaginitis