gynecology and obstetrics
Overview of Vaginitis
Treatment of Vaginitis
Treatment of cause Symptomatic treatment Infectious vaginitis (eg, Treatment , If a foreign body is present, it is removed. For contact irritant or allergic vulvitis, any identified irritant or allergen should be avoided. In general, vaginal douching and unnecessary topical preparations (eg, feminine hygiene sprays) should be avoided. If chronic vulvar inflammation is due to being bedbound or incontinent, vulvar hygiene and skin care measures may help. Prepubertal girls should be taught vulvar hygiene (eg, wiping front to back after bowel movements and voiding, washing hands, avoiding frequent touching of the vulvovaginal area). Infectious, irritant, or allergic vulvovaginitis may cause significant discomfort until adequately treated. Intermittent use of ice packs or warm sitz baths with or without baking soda may reduce soreness and pruritus. If symptoms of noninfectious conditions are moderate or severe or do not respond to other measures, topical corticosteroids (eg, topical 1%hydrocortisonetwice a day as needed) can be applied to the vulva but not in the vagina. Oral antihistamines may be suggested to decrease pruritus and cause drowsiness, helping patients sleep. 