How to treat vaginitis according to symptoms

Nov 11, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Vaginitis should be treated according to its specific type, including antiprotozoal medications for trichomonas vaginitis, antifungal agents for fungal vaginitis, antibacterial drugs for bacterial vaginosis, estrogen therapy for atrophic (senile) vaginitis, and mild anti-inflammatory medications for pediatric vaginitis. Accurate diagnosis of the type is essential before initiating appropriate treatment. If abnormal vaginal bleeding or worsening pain occurs, prompt medical consultation is recommended.

Vaginitis should be treated according to its specific type, including antiprotozoal drugs for trichomonas vaginitis, antifungal agents for fungal (yeast) vaginitis, antibacterial medications for bacterial vaginosis, estrogen-containing drugs for senile (atrophic) vaginitis, and mild anti-inflammatory treatments for pediatric vaginitis. Accurate diagnosis of the type is essential before initiating standardized treatment. If abnormal vaginal bleeding, worsening pain, or lack of response to medication occurs, prompt medical consultation is recommended.

1. Trichomonas vaginitis: Commonly treated with antiprotozoal drugs such as metronidazole or tinidazole, usually administered orally. Sexual partners should also be treated simultaneously to prevent cross-infection. Sexual intercourse should be avoided during treatment to ensure complete eradication of the pathogen.

2. Fungal (yeast) vaginitis: Primarily managed with antifungal agents like clotrimazole or miconazole, typically applied locally in the vagina. Severe cases may require oral antifungal medication. Prolonged use of antibiotics should be avoided to prevent disruption of normal flora and worsening of symptoms.

3. Bacterial vaginosis: Treated with antibacterial drugs such as metronidazole or clindamycin, which can be given orally or applied locally. The focus is on restoring normal vaginal flora; probiotic preparations containing Lactobacillus for vaginal use may be used concurrently to improve the vaginal microenvironment.

4. Senile (atrophic) vaginitis: Caused by decreased estrogen levels, this condition requires local application of estrogen creams. Antimicrobial agents may be used concomitantly to prevent infection. Medication must be used strictly according to prescribed dosage, and patients should not adjust the dose without medical advice.

5. Pediatric vaginitis: Mild anti-inflammatory treatments are recommended, such as sitz baths with diluted potassium permanganate solution. Irritating medications should be avoided. Proper hygiene practices are important, including keeping the external genital area clean and dry to minimize external irritation.

Daily care includes wearing cotton, breathable underwear and avoiding tight synthetic undergarments. The external genital area should be washed with running lukewarm water—avoid excessive use of cleansing solutions. Maintain good hygiene before and after sexual activity, and avoid unhygienic sexual practices. During menstruation, frequently change sanitary products to keep the genital area dry and clean.

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What are the precautions for using Xialing Suppositories?

In general, Xiamisu suppositories are used externally as a gynecological medication primarily for conditions such as cervical erosion and vaginitis. Strict adherence to proper usage guidelines is essential to ensure safety and effectiveness. Key precautions include clearly identifying appropriate indications, mastering the correct method of administration, avoiding use during special physiological periods, monitoring for local reactions, and maintaining proper care during treatment.

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What are the precautions for using clotrimazole suppositories?

In general, clotrimazole suppositories, as a topical antifungal agent, are primarily used for the treatment of candidal vaginitis. Strict adherence to proper usage guidelines is essential to ensure efficacy and safety. Key precautions include clearly identifying the appropriate indications, following correct vaginal administration procedures, avoiding special physiological periods (such as menstruation), monitoring for local adverse reactions, and taking appropriate protective measures during treatment.

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What causes severe itching after inserting metronidazole suppositories, and what should be done about it?

In general, severe itching after inserting metronidazole suppositories may be caused by drug irritation, improper administration, drug allergy, symptoms of vaginitis itself, or vulvitis. Patients can choose appropriate management methods such as general care or medication based on their specific condition. Vaginal medication requires special attention to hygiene and bodily reactions; avoid scratching if itching occurs. If the itching persists after discontinuing the medication or is accompanied by burning or pain, seek medical advice promptly.

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What does it mean when hydrogen peroxide levels in the vagina are high?

Trichomonas vaginitis: Trichomonas vaginalis infection consumes glycogen in the vagina, impairs the activity of lactobacilli, and leads to elevated hydrogen peroxide levels, accompanied by yellow-green frothy vaginal discharge and vulvar burning pain. Treatment should be guided by a physician using oral metronidazole tablets or tinidazole tablets, along with topical metronidazole vaginal effervescent tablets to eliminate trichomonads. Sexual partners should also receive simultaneous treatment.