symptoms of vaginitis, early symptoms and signs of vaginitis
Symptoms of vaginitis
Typical symptoms: Vulvar burning, itching or pain during urination, leucorrhea increased, urgent urination, pain in sexual intercourse, vulvar burning, irritation, purulent vaginal secretion, pudendal burning, local redness, heat and pain in vaginal opening, increased vaginal secretion, tenderness in posterior fornix of vagina and increased leucorrhea after menopause
Related symptoms: Vulvar burning, itching or pain during urination, increased leucorrhea, urgent urination, pain, vulvar burning, irritation, purulent leucorrhea, vaginal purulent secretion, pudendal burning, local redness, heat and pain in vaginal opening, increased vaginal secretion, tenderness in posterior fornix of vagina, increased leucorrhea after menopause
Symptoms of vaginitis
Vaginitis can be divided into many types due to different causes, and different types of vaginitis have different symptoms.
1. Trichomonal vaginitis
Trichomonas vaginitis is a common vaginitis caused by Trichomonas vaginalis.
Main symptoms:Thin foamy leucorrhea and pruritus vulvae.
If there are other bacteria mixed infection, the excretion is purulent and may have bad smell. The itching parts are mainly vaginal opening and vulva, with occasional burning, pain and sexual intercourse pain.
If there is infection at urethral orifice, there may be frequent urination, painful urination and sometimes hematuria. During examination, vaginal mucosa congestion can be seen, with scattered bleeding spots in severe cases, and a large amount of leucorrhea in the posterior fornix, which is grayish yellow, yellow-white thin liquid or yellow-green purulent secretion, often foamy.
A few patients have trichomonas in vagina without inflammatory reaction, which is called vaginal mucosa of vaginal vaginal mucosa of vaginal vaginal vaginal mucosa. Some people think that trichomonas can't cause inflammation when it exists alone. Because it consumes glycogen in vaginal epithelial cells, changes vaginal pH, destroys defense mechanism and promotes secondary bacterial infection, it often causes inflammation when vaginal Ph changes before and after menstruation, pregnancy or postpartum.
2. Mycotic vaginitis
Mycotic vaginitis is caused by fungal infection. Its incidence rate is second only to trichomonal vaginitis.
Main symptoms:Leucorrhea, vulva and vagina burning itching, exogenous dysuria, vulva map erythema (fungal or candidal vulvovaginitis).
Typical leucorrhea is curdled or patchy, vaginal mucosa is highly red and swollen, and white thrush-like plaque is attached and easy to peel off. Under it is the erosive base of damaged mucosa, or shallow ulcer is formed, and ecchymosis may be left in severe cases. However, leucorrhea does not all have the above typical characteristics, from water samples to curd-like leucorrhea can appear, such as some are completely thin and clear serous exudate, which often contains white flakes.
The itching symptoms of mycotic vaginitis during pregnancy are particularly serious, even restless and painful, and symptoms such as frequent urination, pain in urination and pain in sexual intercourse can also be found. In addition, about 10% of women and 30% of pregnant women are mold carriers, but they have no clinical manifestations.
3. Bacterial vaginitis
Bacterial vaginosis is a vaginitis mainly caused by vaginal Gartner bacteria, which can be transmitted through sexual relations.
Main symptoms:Abnormal vaginal secretions are obviously increased, showing thin homogeneous or thin mushy, grayish white, grayish yellow or milky yellow, with special fishy smell.
Because alkaline prostatic fluid can cause amine release, it shows that the odor is aggravated during or after sexual intercourse. The vaginal PH value increases during menstruation, so the odor can be aggravated during or after menstruation. Patients have discomfort in vulva, including different degrees of vulvar pruritus, which generally has no obvious timeliness, but the itching is more obvious in rest and nervous state. There are still different degrees of burning sensation after external administration, and some patients have sexual intercourse pain. Very few patients have lower abdominal pain, difficulty in sexual intercourse and abnormal urination. There was no obvious congestion in vaginal mucosal epithelium at the onset of the disease.
4. Nonspecific vaginitis
Vaginitis that is not caused by Candida albicans, trichomoniasis of vagina or gonorrhea is called nonspecific vaginitis, also called bacterial vaginosis.
Main symptoms:During acute period, there may be a slight increase in body temperature, leukocytosis, general fatigue, discomfort of lower abdomen, increased vaginal secretions, purulent, serous or bloody, and burning pain in vagina.
Vaginal mucosa congestion, sometimes superficial small ulcer, pH in vagina can be seen by speculumValue is alkaline.
5. Infant vaginitis
Infant vaginitis, which mostly occurs in young girls aged 2-9, is a common disease of female infants.
Main symptoms: vulva, vagina itching, vaginal secretions increased. Vulva, clitoris urethral orifice and vaginal orifice mucosa are congested and edema. Secretion increased, even purulent secretion.
Stimulation of a large number of secretions causes vulva pain and itching, and children cry, fidgety and even scratch with their hands. The infection spreads further through fingers and scratches. Some may be accompanied by urgent urination and frequent urination. Acute period can cause labia minora adhesion, adhesion above or below left a small hole, urine flow out from the small hole.
6. Senile vaginitis
Senile vaginitis, also known as atrophic vaginitis, is a non-specific vaginitis, which is more common in postmenopausal elderly women.
Typical symptoms:Vaginal secretions increase, secretions are thin, pale yellow, and severe cases are purulent leucorrhea with bad smell.
Stimulation of secretion, pruritus and burning sensation in vulva. Vaginal mucosa atrophy may be accompanied by sexual intercourse pain. Sometimes there is urinary incontinence. Infection can also invade urethra and produce irritation symptoms of urinary system such as frequent urination, urgent urination and painful urination.
Gynecological examination shows that vaginal mucosa is atrophic, folds disappear, epithelium is thin and smooth, vaginal mucosa is congested, red and swollen, and there are bleeding spots or bleeding spots in mucosa. Later, the fornix and cervix are the most obvious, and severe cases can also form ulcer or vulvar flushing and erosion.
7. Pinworm vaginitis
Pinworm vaginitis is an infectious disease caused by pinworm parasitism on human body. Infection in people through indirect contact and direct anal-hand-mouth contact.
Main symptoms:Severe itching around anus and vulva, or burning pain, especially at night. Increased, vaginal outflow of a large amount of thin yellow purulent secretion, with bad smell. There may be slight loss of appetite, abdominal distension, abdominal pain and diarrhea. Mental uneasiness, insomnia, night terrors, molars at night, etc.
8. Allergic vaginitis
Allergic vaginitis refers to vaginal mucosa similar to nose, eyes, lungs and skin allergic reaction.
Main symptoms:Vaginal secretions increase, purulent leucorrhea, and rotten tissue discharge, with bad smell. Combined with Candida albicans infection, secretions are like cheese made from skim milk powder. There may be itching and vulva burning, and adult women may have difficulty in sexual intercourse.
9. Tuberculous vaginitis
Tuberculous vaginitis is an inflammatory disease of vagina caused by Mycobacterium tuberculosis infection. Tuberculous vaginitis is a manifestation of genital tuberculosis, which is mostly secondary infection. Because the course of this disease is slow and the manifestation is atypical, it is easy to be ignored.
Primary symptoms:Some patients had normal appearance and no obvious discomfort. Often complains of vaginal discomfort, pain and tenderness, and white or brown-black vaginal secretions. Some patients with severe illness may have systemic symptoms such as poor appetite, low fever and emaciation.
Secondary symptoms:When accompanied by tuberculosis of other organs of genitalia, such as tubal tuberculosis and uterine tuberculosis, infertility, lower abdominal pain, abnormal menstruation, leucorrhea is a large number of purulent or serous leucorrhea and other symptoms. When secondary to tuberculosis of lung, peritoneum, intestine, joints and other organs and tuberculosis of urinary system, there may be symptoms caused by other organs such as pleural pain, abdominal pain, frequent micturition, hematuria, emaciation, low fever, fatigue, alternating diarrhea and constipation, dry cough, hemoptysis and so on.
10. Vaginal Haemophilus vaginitis
Haemophilus vaginalis vaginalis caused by Haemophilus vaginalis.
Main symptoms:Leucorrhea is abnormal and increased, with fishy smell or amine odor. Sometimes leucorrhea is gray milky and has high consistency, which is very similar to the symptoms of trichomonal vaginitis. Light only leucorrhea, smelly, vulva damp discomfort. Often accompanied by vaginal burning sensation, sexual intercourse pain and vulvar pruritus.
11. Amoebic vaginitis
Amoebic vaginitis (mebic vaginitis) is mostly caused by amoeba pathogens directly infecting vulva or vagina after excretion with stool.
Main symptoms:Vaginal secretions are serous or mucous, from which large trophozoites can be found. When vaginal mucosa forms ulcer and bleeding, secretion can turn into purulent or bloody. Sometimes brittle ulcers can appear in cervix and vulva, and fuse into large necrosis.
Due to severe connective tissue reaction, some cases may present irregular tumor-like hyperplasia with hard quality, and the ulcer surface is covered with bloody mucus secretion, which is easy to be misdiagnosed as malignant tumor.
12. Menstrual vaginitis
More by menstrual period do not pay attention to menstrual hygiene, especially the use of unclean menstrual supplies resulting in vulva contaminated by unclean things.
Main symptoms:The perineum has falling and burning sensation, and vaginal secretions increase.
13. Honeymoon vaginitis
It is more common among newly married women. Mainly due to not paying attention to sexual organs and sexual hygiene.
Main symptoms:Leucorrhea is increased, itching and pain inside and outside vagina, and mucous membrane is
14. Suppurative vaginitis
It is more common in women with vaginal tear or birth injury.
Main symptoms:Leucorrhea is increased, showing yellow pus-like, with fishy smell, vagina is burning and painful, and mucous membrane is red and swollen.
15. Simple vaginitis
It gets worse one week before menstruation, and has certain relief after menstruation.
Main symptoms:The skin is flushed, swollen and consciously severeItching may be accompanied by burning sensation of vulva and vagina. A large number of white thick curd-like or bean curd-like leucorrhea. There may be vaginal pain, irritation and difficulty in sexual intercourse.
16. Chancroid vaginitis
Main symptoms:One or several small red papules occur on the labia majora and minora, which quickly break and expand into soy-sized or larger ulcers. The base is soft, filthy, with many pus, obvious pain and gradual expansion.
1. Vaginal secretions are gray, sticky, even like batter, uniform, but not purulent secretions, and the amount is uncertain.
2. The amine content in secretion is particularly high, so it smells fishy. During sexual intercourse or after activities, the smell is often aggravated by promoting the release of amine. After adding 10% potassium hydroxide to secretion, the amine smell can also be released.
3. The pH value of vaginal secretions increased, ranging from 5.0 to 5.5, while that of normal people was 4.5 to 4.7.
4. Meridian clue cells can be detected in wet smear of vaginal secretions.
Among the above four criteria, those with more than three criteria can be diagnosed, and the fourth one is emphasized as the necessary diagnostic criteria.
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