Will vaginitis heal on its own? Vaginitis needs to be treated. Different types of vaginal inflammation are treated differently. For example, patients with trichomoniasis vaginitis may have trichomoniasis infection in multiple parts of the urethra, paraurethral glands, and Bartholin's glands at the same time. Systemic medication is required to cure this disease, and vaginal douching should be avoided. The main therapeutic drugs are nitroimidazole drugs. 1. For the first treatment of systemic medication, you can choose metronidazole 2g, single oral dose; or tinidazole 2g, single oral dose; or metronidazole 400mg, twice a day, for 7 consecutive days. The cure rate of oral medication is 90%-95%. For those taking metronidazole, avoid breastfeeding within 12-24 hours after taking the medicine, and for those taking tinidazole, avoid breastfeeding within 3 days after taking the medicine. 2. Treatment of sexual partners Trichomonas vaginitis is mainly transmitted by sexual behavior. Sexual partners should be treated at the same time, and patients and sexual partners should be informed to avoid unprotected sex before recovery. Azoles are often used for candidal vaginitis. 1 Local medication: The following drugs can be placed deep in the vagina: ① Clotrimazole preparation, 1 500mg tablet, single medication; or 1 150mg tablet every night, for 7 consecutive days; ② Miconazole preparation, 1 200mg tablet every night, for 7 consecutive days; or 1 400mg tablet every night, for 3 consecutive days; or 1 1200mg tablet, single medication; ③ Nystatin preparation, 1 100,000U tablet every night, for 10-14 consecutive days. 2 Systemic medication: For unmarried women and those who are not suitable for local medication, oral medication can be used. Commonly used drugs: Fluconazole 150mg, taken all at once. For bacterial vaginosis, metronidazole topical medication can be considered. |
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