December 22 22:01 2019 Print This Article

The composition of flora changes with age, stress, hormonal influence, general health status, and activity. The most common causes of vaginitis in symptomatic women are bacterial vaginosis (BV) (22-50%), candidiasis (17-39%), and trichomoniasis (4-35%); yet, 7-72% of women with vaginitis may remain undiagnosed. The most common kinds of vaginitis are bacterial vaginosis (BV) and yeast, a fungus.It can also result from reduced estrogen levels after menopause.

Hormonal vaginitis includes atrophic vaginitis usually found in postmenopausal, or postpartum women. Sometimes it can occur in young girls before puberty. The three most common infections are bacterial vaginosis (BV), candida vaginitis (yeast infection) and trichomonas vaginitis (“trich”). When the walls become inflamed.

A recent Gallup survey found that very few women have a thorough understanding of vaginitis. Vaginitis is a diagnosis based on the presence of symptoms of abnormal discharge, discomfort, or both. A complex and intricate balance of microorganisms maintains the normal flora. Important organisms include lactobacilli, corynebacteria, and yeast. Hormones further influence this microenvironment.

Infectious vaginitis accounts for 90% of all cases in reproductive age women and is usually caused by Candida albicans (a yeast), Trichomonas (a protozoan) or by Gardnerella (a bacterium). After menopause, as estrogen production decreases, the walls of the become drier, thinner, less elastic and more likely to bleed. Vaginitis can sometimes be a sign of other health problems. Knowing more about the signs and symptoms of this common will help you and your health care provider make a proper diagnosis.

Causes of Vaginitis

The comman causes of Vaginitis include the following:

  • Vulvovaginitis can affect women of all ages and is extremely common. It can be caused by bacteria, yeasts, viruses, and other parasites.
  • Immunologic status.
  • Anatomy of the genital area.
  • Underlying skin diseases.
  • Thrush infection caused by a fungus (candida albicans) is the most common cause of vaginitis and is a cause of irritation for many women.
  • Trichomonas is caused by a small organism called a flagellate.
  • Bacterial vaginosis may be due to an imbalance between normally occurring bacteria that protect infectious ones.

Symptoms of Vaginitis

Some sign and symptoms related to Vaginitis are as follows:

  • Thin discharge, usually white or gray in color.
  • Burning discomfort around the opening, especially if urine touches the area.
  • Pain during urination.
  • Burning discomfort during urination.
  • A yellow-green, foul-smelling discharge.
  • Systemic symptoms such as lower abdominal pain, fever, chills, nausea, and vomiting.
  • Watery or foamy discharge.

Treatment of Vaginitis

Here is list of the methods for tresting Vaginitis:

  • Treatment may include sitz baths and instruction regarding proper toilet and hygiene techniques.
  • Metronidazole (Flagyl) is the treatment of choice both for patients who are immunocompetent and for those who are immunocompromised.
  • A vaccine of killed “aberrant lactobacilli” is available in Europe. This vaccine has not been evaluated in well-controlled, double-blind prospective trials.
  • Antibiotics such as metronidazole and clindamycin are generally prescribed, as oral (pill) or topical (cream) treatments.
  • A trichomonas infection is usually treated with an oral antibiotic prescription drug.
  • A cream containing cortisone may also be used to relieve some of the irritation.
  • Boric acid can be used in resistant cases.