A summary of senile vaginitis

Outlined In senile vaginitis, Also known as atrophic vaginitis; is a non-specific vaginitis. Many occurred in women after menopause, but after bilateral ovariectomy or breast-feeding women may also arise. Clinical manifestations The main symptoms are Leucorrhea increased, a yellow or purulent water, the smell, a serious infection, there may be a bit vaginal bleeding, and pain and fall of vaginal burning flu. If involved vestibular and urethral mucosa around the mouth, often appeared frequency. 　 Diagnosis According to the pathogenesis of age, history, check with local visible genital flushing, humid, congestive vaginal wall, scattered in the hemorrhage, cervical after fornix and the most obvious. After stripping vaginal mucosa can be formed ulcers. Generally it is not difficult to diagnosis. When the formation of chronic inflammation, it can result in two types: First, under the vaginal mucosa connective tissue fibrosis, vaginal lose flexibility, vaginal stenosis and the final formation of scar; another situation for the vaginal wall adhesion formation vaginal atresia, even in the formation of more than atresia vaginal pyonephrosis. Such cases although rare, but serious condition. Differential diagnosis Identification with specific vaginitis, vaginal secretions inspection should take exception trichomonas, fungi, and other pathogens. Bloody Leucorrhea differential with uterine cancer. Gynecological examinations attention when uterine size and shape, vaginal bleeding source and cytological examination and, if necessary, cervical or endometrial biopsy, and so on. Treatment The senile vaginitis treatment principle is to strengthen the resistance of vaginal mucosa inhibit bacterial growth and reproduction. Systemic medication, oral diethylstilbestrol 0.25 to 0.5 mg a day, a total of seven days. Medication sometimes cause after the withdrawal of uterine bleeding. Local medication, improve vaginal pH by one percent lactic acid rinse or 1:5000 potassium permanganate vagina. Every night can be put vaginal sit medicine, B phenol - 0.25 to 0.5 mg, Add vaginal day, a total of seven days. When necessary, local scatterable smear antibiotic ointment or powder. Etiology Main reason is because ovarian function recession, the low level of estrogen in vivo or lack of vaginal epithelial cells glycogen reduced vaginal pH was alkaline, reduced ability to kill pathogens. At the same time, due to vaginal mucosal atrophy, the Pifei thin, insufficient blood supply to the vagina to reduce resistance, ease of propagation from invasive bacterial inflammatory lesions. In addition, bad hygiene habits, lack of nutrition, particularly the lack of vitamin B group, and the incidence may be related.