What medications are used to treat vaginitis in elderly women?

In general, senile vaginitis in elderly women refers to atrophic vaginitis. This condition can be treated with medications such as nylestriol, nystatin tablets, amoxicillin capsules, metronidazole tablets, and vaginal Lactobacillus live bacterial capsules. If any discomfort occurs, it is recommended to seek medical attention promptly. The specific treatments are outlined below:

1. Nylestriol

This is an estrogenic drug used to supplement insufficient estrogen levels in the body. In the treatment of atrophic vaginitis, estrogen supplementation helps increase the thickness and elasticity of the vaginal mucosa and improves local resistance, thereby relieving symptoms. However, when using estrogenic drugs, potential adverse effects such as breast tenderness and endometrial hyperplasia should be monitored, and dosage and treatment duration must strictly follow medical guidance.

2. Nystatin Tablets

This medication is primarily used to treat vaginal infections caused by Candida (yeast). If atrophic vaginitis is complicated by a Candida infection, nystatin tablets are an effective treatment option. However, this drug should not be used indiscriminately without clear evidence of Candida infection.

3. Amoxicillin Capsules

Amoxicillin capsules are broad-spectrum antibiotics mainly used to treat bacterial infections. In cases of atrophic vaginitis where a bacterial infection—such as bacterial vaginosis caused by Gardnerella—is clearly present, amoxicillin may be part of the treatment plan. However, caution is needed, as inappropriate use of antibiotics can disrupt the normal microbial balance and potentially worsen vaginitis symptoms.

4. Metronidazole Tablets

Metronidazole is an effective treatment for anaerobic bacterial infections and is commonly used in managing bacterial vaginosis. In atrophic vaginitis associated with anaerobic infection, metronidazole is a reasonable choice. Nevertheless, its use should follow medical advice to avoid misuse.

5. Vaginal Lactobacillus Live Bacterial Capsules

This product contains live Lactobacillus strains that help restore the natural balance of vaginal flora and enhance local immunity. For elderly patients with atrophic vaginitis, especially those experiencing recurrent episodes due to microbial imbalance, using vaginal Lactobacillus live bacterial capsules can help consolidate treatment outcomes and prevent recurrence.

Elderly individuals should pay special attention to personal hygiene, maintain a balanced diet, and engage in moderate physical activity to boost immunity, which can help prevent the occurrence of vaginitis.