Description:

Vulvovaginitis is an inflammation of the vulva and vagina caused by various pathogens such as bacteria, fungi, or viruses, as well as non-infectious irritants like soaps, shower gels, or perfumes. It is one of the most common gynecological conditions, affecting women of all ages. The treatment for vulvovaginitis depends on the cause of the inflammation and aims to alleviate symptoms, combat the underlying infection, or avoid irritants.

Indications:

  • Itching, burning, or irritation in the vulva and vagina
  • Unusual vaginal discharge that may vary in color, consistency, or odor
  • Pain or discomfort during urination or sexual intercourse
  • Redness, swelling, or inflammation of the vulva and vagina
  • Recurrent infections or persistent symptoms despite self-care

Procedure:

  1. Diagnosis: The doctor performs a thorough medical history and physical examination to assess the symptoms and potential causes of vulvovaginitis. This may also include laboratory tests such as swabs or cultures to identify specific pathogens.
  2. Treatment Based on Cause:
    • Bacterial Infections: Typically treated with antibiotics, either as a topical cream or gel or in tablet form.
    • Fungal Infections: Antifungal medications available as creams, suppositories, or tablets are used to treat yeast infections like Candida albicans.
    • Viral Infections: Treatment focuses on relieving symptoms, as antiviral medications are limited. In some cases, antiviral drugs can be used to reduce the severity or duration of symptoms.
    • Non-Infectious Irritations: Avoiding irritants such as scented soaps, shower gels, or tight clothing is essential. Mild cleansers and wearing breathable cotton underwear can also help.
  3. Symptomatic Treatment: In addition to specific treatments to combat infections or avoid irritants, other measures can be taken to relieve symptoms. This may include applying soothing creams or lotions, sitting in a warm bath (sitz bath), or using cool gel packs to relieve itching and swelling.
  4. Aftercare and Prevention: The doctor may provide further instructions on preventing future episodes of vulvovaginitis, such as avoiding potential irritants, wearing loose, breathable clothing, and maintaining good intimate hygiene. In cases of recurrent infections, regular follow-up examinations may be recommended.

Benefits:

  • Relief of symptoms such as itching, burning, and discharge
  • Elimination of the underlying infection or irritation
  • Improvement of quality of life and comfort
  • Reduction of the risk of complications or recurrent infections
  • Support for the restoration of a healthy vaginal environment