Patient's question:
How to use medication for non-specific vulvitis, and what medications can treat it? Thank you!Doctor's answer:
Hello: Non-specific vulvitisSimple vulvitis is a type of non-specific vulvitis, often caused by various physical and chemical stimuli. For example, cervical, vaginal, or cervical cancer can lead to excessive vaginal discharge, which irritates the vulva; menstrual blood, urine from diabetic patients, feces from urine fistula patients, or feces from fecal fistula patients can soak the vulva; using menstrual pads, wearing synthetic underwear, and failing to maintain vulvar hygiene can all lead to bacterial infections and cause vulvitis. The causative pathogens are often mixed infections of staphylococcus, E. coli, streptococcus, etc.
This condition commonly occurs on the inner and outer sides of the labia minora and, in severe cases, can affect the entire vulva. Patients experience vulvar itching, pain, and a burning sensation, with the itching and pain becoming more pronounced during urination. Gynecological examination may reveal redness and swelling of the labia minora, with possible scratch marks, sometimes forming eczema or ulcers. If the inflammation is not treated effectively and persists for a long time, the vulvar skin may become rough and thickened due to repeated scratching, or develop lichenoid changes. During examination, routine laboratory tests of vaginal discharge should be conducted, and urine sugar and stool routine tests may be necessary to identify the cause of vulvitis.
Treatment for simple vulvitis first requires maintaining vulvar cleanliness and dryness, avoiding scratching the vulva, and not wearing synthetic underwear. At the same time, actively treat underlying conditions that may cause vulvitis, such as vaginal, cervical, or diabetes. Medication options include soaking in a 1:5000 potassium permanganate solution or using traditional Chinese herbal medicines like bai xian pi, ku shen, huang bo, she chong zi to decoct a solution for steaming and washing. Each session should last 20 minutes, performed 1–2 times daily, with the water not being too hot. After washing, apply an antibiotic ointment to the affected area.