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Last Updated: Jan 10, 2023
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Inflammation of The Vagina - Could it be Vaginitis?

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Dr. Jayanti KamatGynaecologist • 31 Years Exp.MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
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Vaginitis is the inflammation of one’s vagina accompanied by pain during intercourse, mild vaginal bleeding, painful urination, vaginal itching or a considerable change in the amount, odor and color of the vaginal discharge.
Causes:
1. A certain level of bacteria is normally found in one’s vagina (lactobacilli). Now if this count is outnumbered by the other bacteria (anaerobes), the balance in the vagina gets disrupted giving rise to bacterial vaginosis. Such kind of vaginitis usually stems from sexual intercourse with multiple sex partners.
2. Yeast infection occurs due to an overgrowth of fungal organisms in one’s vagina, especially Candida Albicans.
3. Trichomoniasis caused by the one celled microscopic parasite ‘Trichomonas Vaginalis’ generally spreads through sexual intercourse with an infected partner. The condition also makes one vulnerable to various sexually transmitted infections.
4. Spermicidal products, scented detergents, perfumed soaps, douches, vaginal sprays or foreign objects such as tampons that were not taken out or tissue paper might trigger allergic reactions or irritation in the vaginal tissues.

5. Surgical removal of the ovaries or reduced estrogen count after menopause might cause thinning of the vaginal lining, thereby resulting in vaginal burning, dryness or irritation.


Treatments:
1. For Bacterial vaginosis, your doctor might advise the application of clindamycin cream or metronidazole gel as well as metronidazole tablets which are to be taken orally.
2. Yeast infections might be treated with an anti-fungal suppository or cream, for instance, tioconazole, butoconazole, clotrimazole or miconazole. Oral medication, such as fluconazole is also administered to treat the same.
3. Metronidazole or tinidazole tablets are prescribed for Trichomoniasis.
4. Estrogen in the form of rings, tablets or vaginal creams is effective in treating low estrogen level after menopause.
5. For non-infectious vaginitis primarily caused by objects, such as tampons, sanitary napkins, laundry detergent or new soap, it is essential to pinpoint the source of the irritation and avoid them. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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