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Last Updated: Mar 02, 2020
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Vaginitis: Treatment, Procedure, Cost and Side Effects

About Types Symptoms Causes Diagnosis Treatment Medications Risk factors Side effects Post-treatment guidelines Recovery Cost Prevention Cure Natural treatment
Vaginitis: Treatment, Procedure, Cost and Side Effects

What is Vaginitis?

Vaginitis is a condition that occurs due to an inflammation or infection in the vagina. It often leads to itching and pain in the vagina, discharge and odor, even pain during urination and sexual intercourse. The common causes of vaginitis include bacterial infection, yeast and Trichomonas.

Bacterial vaginosis is considered the most common bacterial infection which is caused due to an imbalance in the bacteria present in your vagina. Vaginitis may also result from non-infectious physical or chemical inflammation.

What are the types of vaginitis?

These are the different types of vaginitis:

  1. Bacterial vaginosis:

    In this, there is an overgrowth of normal bacteria in the vagina which interrupts the natural balance of the body. It can affect women of any age but most women who are in their reproductive years get this.

  2. Candida or yeast infection:

    In this fungal infection in the vagina is caused by the yeast and is known as vaginal thrush.

  3. Trichomoniasis:

    This is a sexually transmitted by a single-celled protozoan parasite known as protozoan parasite Trichomonas vaginalis. It can infect the urogenital tract, including the urethra.

  4. Atrophic vaginitis:

    In this lining of the vagina gets thinner due to the decrease in the estrogen level in the body during the time of menopause. This also leads to irritation and inflammation.

What are the symptoms of vaginitis?

The symptoms of vaginitis are as follows:

  • Pain at the time of sexual intercourse
  • Discomfort or pain during urinating
  • Infection of the genital area
  • Discharge of watery, white or foamy liquid from vagina
  • Redness
  • Inflammation and swelling of the perineal area
  • labia majora
  • labia minora
  • Due to the excessive immune cell.

What causes vaginitis?

The most common cause of vaginitis is infection in the vagina which includes candidiasis, bacterial vaginosis, and trichomoniasis. The most crucial time for the occurrence of vaginitis is puberty and it happens for 90% of the time.

Different types of bacteria are involved during the infection. There can be many causes of vaginitis which include pregnancy, use of antibiotics, low level of estrogen, wearing tight clothes, using birth control devices, women having diabetes.

How is Vaginitis Transmitted?

Vagina has both good and bad bacteria present in it but when the balance between the good and bad bacteria gets upset bad bacteria starts growing very fast which then causes infection. Thus when the infection spreads and the number of bad bacteria increases and which can get transmitted by sexual activities.

How is vaginitis diagnosed?

Diagnosis of vaginitis usually involves the following steps:

  • The doctor may want to review your medical history to look for any vaginal or sexually transmitted infection
  • The doctor would perform a pelvic exam to detect any sort of inflammation or discharge from the vagina.
  • A sample of vaginal discharge is collected for lab testing in order to confirm the condition.
  • Very often a pH paper or stick is placed on the wall of your vagina to examine the vaginal pH.

Treatment of vaginitis depends on its causes and symptoms.

How is vaginitis treated?

The treatment for this condition depends on the causes and types of vaginitis. Bacterial Vaginosis (BV), the most common bacteria present in your vagina, can be treated with antibacterial and antifungal medicines and drugs like metronidazole or clindamycin. The doctor usually prescribes these to women who show symptoms of BV. During the course of this treatment women are advised not to make sexual intercourse.

Medicines and gels like tropical creams, fluconazole, miconazole etc are exclusively made to treat yeast infections. Sexually transmitted infections such as Trichomoniasis can be cured with a single dose of antibiotic medicine. In order to stop the infection from spreading and keep it away, both the partners (male and female) need to undergo this treatment. Estrogen is very effective in curing vaginal atrophy.

Other ways of treating this condition includes: cortisone cream to cure irritation in the vagina; if the inflammation results from an allergic reaction antihistamines are used.

Vaginitis Medications:

The medication for vaginitis includes:

  • Antibiotic medication: Ceftriaxone (Rocephin), Erythromycin, Metronidazole (Flagyl), Clindamycin (Cleocin), Cefixime (Suprax), Doxycycline (Doryx), and Azithromycin (Zithramax).
  • Antifungal medication: These medications are used for the prevention of yeast infection antifungal medications include Fluconazole, Terconazole (Terazol), Clotrimazole (Gyne-Lotrimin), Miconazole (Monistat), Butoconazole (Gynazole), and Nystatin.

What are the risk factors for vaginitis?

Risk factor for vaginitis are:

  • Sexual activity
  • Douching
  • Medication including antibiotics and steroid
  • Having any kind of sexually transmitted disease
  • Wearing damp or tight clothes
  • Controlled diabetes
  • Hormonal changes in the body at the time of pregnancy and menopause
  • Using any birth control device

Are there any side effects?

There are no known side effects of vaginitis treatment. However, if a person is diagnosed at the time of pregnancy, certain medications or drugs may not be suitable for her and may lead to serious complications. Use of certain medicines or gels may cause sensitivity issues or allergy.

What are the post-treatment guidelines?

Post treatment guidelines include: following a good hygiene, washing and cleaning your vagina and the surrounding region with a mild soap in order to prevent infections, wearing clean and loose clothing, using necessary antibiotics as prescribed, practicing safe sex, and consumption of antioxidant food and drinks.

How long does it take to recover?

Although the complete course for the treatment may take 7days, bacterial vaginosis normally takes 2-3 days to cure with the help of antibiotic medicines. During this period the patient is advised to carry on with the prescribed medication even if the condition shows signs of improvement.

What is the price of the treatment in India?

The price of the treatment depends on the type of infection you are undergoing the treatment. The average price starts from one thousand rupees and can go up to 10 thousand rupees.

Can vaginitis be prevented?

Yes, vaginitis can be prevented by practicing safe sex or abstinence but most of the time all the yeast infections cannot be prevented. Vaginitis can also be prevented by practising hygiene and keeping your vagina clean.

How to cure vaginitis?

Treatment of vaginitis depends upon the cause of it and it includes low potency of topical steroids which is applied on the skin, oral antibiotics, topical antibiotics, antibacterial cream, anti-fungal creams. Bacterial vaginosis is most of the time cured with the help of antibiotic which includes metronidazole (Flagyl), or clindamycin.

How to treat vaginitis naturally?

These are things which help in treating vaginitis naturally:

  • Yogurt
  • Probiotics
  • Garlic
  • Hydrogen peroxide
  • Tea tree oil
  • Cotton underwear
  • Boric acid
  • Having safe sex
  • No douche
  • Practicing hygiene

Popular Questions & Answers

If feel burning in vagina while having sex, if I am loosing my libido, if I was evaluation regularly till last months period on 21st September but still I am not pregnant, what does these means?

Homeopathy Doctor, Noida
You need to do urine pregnancy test. It should be done 10 days after missing your period. For example, if your date was 10th, then do the test on 20th. Before that, it can give a false negative or false-positive test.

I've e candida spores and psuedohyphae seen when done the pap smear. I'm 30 now. Result shows candida vaginitis. It's dense inflammation. Impression is candida vaginitis. My hba1c is 5.9. I'm taking metformin. Is there any medicine that i've to take? I kept 6 days vaginal suppository and a one time medicine orally. Should I take any further medication? Please help me. Coz my doc is saying i've to get admitted in hospital and go for 8 hours antibiotic injection for 5 days. Is there a need for all of that?

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
if the infection is gone with suppository and medicine then there is no requirement if daily infection. your sugars are pretty under control as well

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