Patient's question:
What is non-specific vaginitis? How is it treated?What medication needs to be taken orally?
Doctor's answer:
Hello, Non-specific vaginitis:1. Trichomoniasis: The abnormal vaginal discharge in non-specific vaginitis is different from that of trichomoniasis. Patients with trichomoniasis have a large amount of thin, frothy vaginal discharge with a foul odor, and significant itching of the external genitalia and vagina. Physical examination reveals strawberry-like red granules on the vaginal walls, and the discharge under microscopic examination shows active trichomonads.
2. Candidiasis: Both non-specific vaginitis and candidiasis involve an increase in vaginal discharge, but the discharge in candidiasis is curd-like or cheese-like, with white membranous patches attached to the vaginal mucosa, often accompanied by redness and swelling underneath. Microscopic examination of the discharge reveals spores and pseudohyphae.
3. Haemophilus vaginitis: This condition is often associated with changes in menstruation, and the vaginal discharge has a foul odor without foam. The discharge smear shows a large number of Haemophilus organisms adhering to vaginal cells, and bacterial culture can confirm the diagnosis.
4. Amoebic vaginitis: Non-specific vaginitis and amoebic vaginitis not only differ in the characteristics of abnormal vaginal discharge but also have distinctive features. The discharge in amoebic vaginitis is bloody serous or yellow, viscous purulent in nature. Vaginal examination reveals typical ulcers, and the discharge smear or culture can identify amoebic trophozoites.
5. Atrophic vaginitis: Common in elderly women and post-menopausal patients, the vaginal walls show senile changes, with thin mucosa, few folds, poor elasticity, and easy bleeding. Sometimes, ulcers or adhesions may be present, and the discharge is abundant, containing a large number of pus cells.
It is not caused by certain specific pathogens