Patient's question:
Yesterday I went to the hospital for a check-up. The doctor only performed a leukorrhea test and a vaginal examination before making a judgment, and said it was very serious. On the test report, the cleanliness was rated as 2, with congestion in the labia majora, labia minora, and anterior lip mucosa; vaginal mucosa congestion, with a large amount of yellow, cheese-like discharge; and cervical congestion. Is it really that serious? Could this lead to something like cervical erosion very quickly? After researching online, I learned that there are various types of vaginitis, and their symptoms are quite similar. Could you please tell me what the differences are between different types of vaginitis?Doctor's answer:
Hello: According to the examination report you provided, the inflammation is still quite severe.Below is some information for reference:
Vaginitis is a hidden pain for many women. Throughout their lives, at different stages or due to various reasons, women may suffer from vaginitis. Of course, the best solution is to consult a gynecological expert for targeted medication and timely treatment.
Trichomoniasis Vaginitis
It is caused by the pathogen—Trichomonas vaginalis—and is transmitted through sexual contact or indirect transmission (such as through public baths, swimming pools, clothing, bedding, and contaminated instruments). The main symptoms include external genital itching, increased vaginal discharge, which appears pale yellow and foamy. In severe cases, the discharge may contain blood. There may also be a burning sensation, pain during intercourse, and, if accompanied by urinary tract infection, frequent urination, dysuria, or even hematuria.
Treatment Approach: Treatment typically involves oral metronidazole and the vaginal insertion of tinidazole suppositories, with a course of 7–10 days. This should be repeated for three months, followed by a 1% lactic acid rinse for the external genitalia. The husband should also be treated simultaneously, and sexual activity should be avoided during the treatment period. Additionally, patients should pay attention to personal hygiene and avoid unsafe sex and cross-infection.
Candida Vaginitis
It is caused by the pathogen—Candida albicans—infection and is more common in women who use hormones or antibiotics for a long time, as well as those with diabetes or pregnancy. The main transmission routes are sexual contact, public baths, towels, etc. The main symptoms include cottage cheese-like vaginal discharge and external genital itching.
Treatment Approach: Oral fluconazole 150mg, vaginal medication with Kanin, or the insertion of nystatin suppositories into the vagina can be used.