How to diagnose senile vaginitis
Senile vaginitis, also known as atrophic vaginitis; is a non-specific vaginitis. Mostly occurs in post-menopausal women, but ovariectomized or breast-feeding women may also occur.

Clinical manifestations

The main symptoms for leucorrhea increase in water samples yellow or purulent, the smell, serious infection, vaginal bleeding may occur drip and fall vaginal pain and burning sensation. Such as involving the vestibular mucosa and around the urethra, often frequent urination,尿痛.

Diagnosis

According to age, medical history, combined with local genital examination showed flushing, humid congestive vaginal wall, there are scattered bleeding points, after the most obvious fornix and cervix. Exfoliative vaginal mucous membrane can be formed after the ulcer. In general it is not difficult to diagnose. When the formation of chronic inflammation may occur two results: First, under the vaginal mucous membrane of connective tissue fibrosis, the vagina loses elasticity, and finally narrow and scar formation of the vagina; another case for the vaginal wall adhesion formation vaginal atresia, and even more than in the formation of atresia vaginal pyonephrosis. Although such cases rare, but serious condition.

Differential diagnosis

And identification of specific vaginitis, vaginal discharge should be taken to check the exception of trichomoniasis, mold and other pathogens. Leucorrhea bloody identification with uterine malignancies. Gynecological examination attention uterine size and shape, the source of bleeding and vaginal cytology and, if necessary, cervical or endometrial biopsy, etc..

Treatment measures

Senile vaginitis treatment principle is to strengthen the resistance of vaginal mucous membrane and inhibit bacterial growth and reproduction. Systemic medication, can be oral diethylstilbestrol 0.25 ~ 0.5mg, day 1, a total of 7 days. After medication sometimes uterine bleeding caused by withdrawal. Local drug use, improve the vaginal pH, with 1% lactic acid or potassium permanganate 1:5000 vaginal washing. Night can hold vaginal sit drugs, paracetamol tablets B 0.25 ~ 0.5mg, Add vagina, daily 1, a total of 7 days. When necessary, local scatterable powder or antibiotic ointment applied.

Etiology

Mainly due to ovarian function due to recession, the body of low estrogen levels or lack of, vaginal epithelial cells glycogen decrease vagina was alkaline pH values, reduced ability to kill pathogens. At the same time, as a result of vaginal mucosal atrophy, on皮菲thin, insufficient blood supply to the vagina to reduce the resistance, to facilitate breeding of invasive bacterial disease caused by inflammation. In addition, bad hygiene, nutritional deficiencies, especially lack of vitamin B group, may be related to the pathogenesis.