Recognizing senile vaginitis

【Outlined -- senile vaginitis, also known as atrophic vaginitis; Is a non-specific vaginitis. Occur after the menopause women, but after ovariectomy or breast-feeding women may also arise. 【Diagnosis -- according to the age of onset, family history, combined with local genital examination showed flushing, moist vaginal wall hyperemia, scattered bleeding, after the fornix and cervical most noticeable. After stripping vaginal mucosa ulcer formation. General diagnosis is not difficult. When chronic inflammation, may occur two results : First, the vaginal mucosa connective tissue fibrosis, the vagina loses elasticity Finally vaginal stenosis and the formation of scar; Another situation for the vaginal wall adhesion vaginal atresia, even in the form of vaginal atresia over empyema. Although such cases rare, but serious condition. [Treatment] senile vaginitis treatment principle is to strengthen the resistance of the vaginal mucosa and inhibit growth of bacteria. Systemic medication, oral diethylstilbestrol 0.25 ~ 0.5 mg once daily for 7 days. After the medication sometimes cause withdrawal bleeding. Topical, improve vaginal pH and lactate with 1% or 1 : 5000 potassium permanganate douching. Nightly caving vaginal sit medicine, B Paracetamol Tablet 0.25-0.5mg, Add vagina, a daily meeting, a total of seven days. Local necessary scatterable smear antibiotics powder or ointment. 【Etiology -- were due mainly to the recession of ovarian function, the body estrogen level is low or absent vaginal epithelial cells glycogen reduced vaginal pH was alkaline, reduced ability to kill pathogens. Meanwhile, due to vaginal mucosa atrophy, on Pifei thin, blood supply shortage, the vagina to reduce resistance, facilitate the reproduction of bacteria cause invasive inflammatory lesions. In addition, bad personal hygiene habits and lack of nutrition, particularly the lack of vitamin B group, the incidence may be related. 【Clinical manifestations of the main symptoms -- leucorrhea increase was yellow or turbid water, the smell, a serious infection, there will be a bit of vaginal bleeding and pain and a fall vaginal burning. If implicating the vestibule and around the urethral mucosa, he often appears frequency of micturition, magnificent. 【-- And the differential diagnosis to identify specific vaginitis, vaginal secretions should take checks except trichomoniasis, molds and other pathogens. Gutsy Leucorrhea should identify with uterine cancer. Gynecological examination attention to the size and shape of uterine bleeding source and vaginal cytology screening, if necessary, cervical or endometrial biopsy, and so on.