Senile vaginitis is common in postmenopausal elderly women. Due to the decline of ovarian function, estrogen level, atrophy of vaginal wall, thinning of mucosa, decrease of glycogen content in epithelial cells, increase of pH value in vagina and decrease of local resistance, pathogenic bacteria are easy to invade and reproduce, thus causing inflammation. The main symptoms are increased leucorrhea, pruritus vulvae and burning sensation.

treat cordially

The principle of treatment is to supplement estrogen, enhance vaginal resistance and inhibit bacterial growth.

1. Enhance vaginal resistance

Estrogen preparations can be administered locally or systemically according to the etiology. Topical use of pregnenestrone ointment twice a day, or 1 week for internal and external use of estriol cream, 1 time a day, and then gradually reduce to the maintenance amount according to the remission situation (such as twice a week).

2. Inhibition of bacterial growth

Wash vagina with 1% lactic acid or 0.5% acetic acid solution once a day to increase vagina acidity and inhibit bacterial growth and reproduction. After vaginal irrigation, local application of antibiotics.

prevent

Increase vaginal acidity and improve vaginal resistance. About 30% of women will suffer from senile vaginitis after menopause. The reason is that after menopause, the level of sex hormones in women is obviously reduced, which leads to the increase of pH value in vagina, the atrophy and thinning of vaginal mucosa, the disappearance of wrinkles, the decrease of elastic tissue in vagina, the opening of vaginal orifice and the swelling of wall, which will weaken the resistance of vaginal mucosa to pathogens and easily lead to bacterial infection and vaginal inflammation. Therefore, elderly women should pay special attention to self-care and hygiene to reduce the chance of vaginal infection.

1. When senile vaginitis occurs, don't burn the vulva with hot water because of vulva itching. Although this can temporarily relieve vulvar itching, it will make vulvar skin dry and rough, and itching will become more obvious soon. When cleaning vulva, we should use weak acid female nursing liquid.

Change underwear every day during illness. Underwear should be loose and comfortable, made of pure cotton cloth.

Don't abuse drugs when the vulva is uncomfortable. Because the bacteria that cause senile vaginitis are mostly Escherichia coli and Staphylococcus. Different from women of childbearing age, fungal vaginitis and trichomonal vaginitis are the most common. So don't use drugs indiscriminately to treat mold or trichomonas, and don't treat vulvar vaginitis as vulvar eczema, which will be counterproductive.

4. Pay attention to hygiene at ordinary times to reduce the chance of getting sick. Don't wash the vulva with soap or various potions just for disinfection and sterilization. Because the vulva skin of elderly women is generally dry and atrophied, frequent use of irritating cleaning products such as soap to clean vulva will aggravate skin dryness, cause itching and damage vulva skin. When cleaning the vulva, apply a weakly acidic female care solution. The selected toilet paper should bear the words "cancel the standard". Change your underwear frequently. Don't mix your washbasin and towel with others.

5. Because of the thin vaginal mucosa of the elderly women and the decrease of elastic tissue in the vagina, it is possible to damage the vaginal mucosa and blood vessels in the mucosa during sexual life, so that bacteria can invade. Solution: You can apply a small amount of oil to the vaginal opening before sexual life to lubricate the vagina and reduce friction.