Annular vulvitis symptoms?

summary

The etiology of annular vulvitis is not very clear. He is a kind of disease that is difficult to cure. Fungal culture and microscopic examination are usually negative, but anti Candida treatment is effective for most patients. It is speculated that the symptoms of annular vulvitis can be cured. Many people are not cured for a long time, but don't understand it. Let's introduce the symptoms of annular vulvitis?.

Annular vulvitis symptoms?

First: the symptoms of annular vulvitis are intermittent and related to the menstrual cycle, usually occurring in premenstrual or menstrual period* After the examination, obvious erythema can be found in the vulva. There is tenderness when swab with cotton swab.

Second: acute inflammation: patients first feel discomfort of vulva, then itching and pain, or burning sensation, at the same time, there may be swelling and congestion of skin and mucous membrane of vulva (including labia minora and clitoris).

Third: chronic inflammation: mainly manifested as pruritus vulvae, skin thickening, rough, chapped, can also be accompanied by micturition pain or * pain. Disease Description: under normal circumstances, aerobic bacteria and anaerobic bacteria reside in the vagina, forming a normal vaginal flora. Aerobic bacteria include Corynebacterium, non hemolytic streptococcus, Enterococcus and Staphylococcus epidermidis. Facultative anaerobes include lactobacillus, Gardnerella and Escherichia coli. Anaerobic bacteria include Streptococcus suis, Streptococcus digestive, Bacteroides, Fusobacterium and Campylobacter. In addition, there are mycoplasma and Candida. The vagina and these flora form a balanced ecology. The vaginal environment affects the flora, and the flora also affects the vaginal environment. Lactobacillus is dominant in normal vagina and plays a key role in maintaining normal vaginal flora. Although there are defense mechanisms of vulva and vagina, vulva is easily contaminated because it is adjacent to urethra in front and anus in back; Vulva and vagina are the only way of delivery, delivery and all kinds of uterine cavity operation, which are vulnerable to injury and infection of various external pathogens. In addition, although the vaginal flora is normal flora, the ecological balance between vagina and flora is broken when a large number of antibiotics and hormones are used, or the immune ability of the organism is decreased due to various reasons, and conditional pathogens can also be formed.

matters needing attention

1. Anti Candida drugs (such as nystatin) were used in vagina for 4-6 weeks. 2. The change of pH in vagina by acetic acid gel is also effective in some cases. 3. Oral and vaginal medication. Some scholars recommend continuous antifungal therapy, taking oral fluconazole 150mg every 1-7 days, and placing fluconazole in vagina for 3 consecutive days after medication, so as to eliminate the infection of Candida albicans and avoid contact with irritating cream in vulva. Or choose daily topical azole cream, nystatin ointment or vaginal suppository.