How does vulva vestibulitis use medicine?
summary
Vulvar vestibulitis, also known as vulvar vestibular syndrome, is a chronic persistent clinical syndrome. Vulvar pain during sexual intercourse is more common in women with active sexual life. Most patients have a history of several months or even years, and have a history of repeated bacterial infection or condyloma acuminatum. So let's share how to use medicine for vulvar vestibulitis?.
How does vulva vestibulitis use medicine?
First: drug therapy: 1% hydrocortisone ointment was applied locally, and 2% - 5% lidocaine solution was applied externally to relieve sexual discomfort. For the patients who have no response to the above treatment or have severe lesions, high-efficiency corticosteroids such as 0.025% fluticasone or 0.1% triamcinolone acetonide ointment can be used for external use. Other treatments such as warm water sitz bath, liquid paraffin lubrication vestibule before intercourse. In recent years, local or intramuscular injection of interferon has been reported α The effective rate was 50%. Antihistamines are effective in some patients. Tricyclic antidepressants can be used because they have central analgesic effect and are also effective for secondary depression. The curative effect of antibiotics is uncertain, such as oral imidazole antifungal drugs, metronidazole are ineffective.
Second, there are two surgical methods: vestibuloplasty and vestibulectomy (modified perineum plasty), the latter has better curative effect, the effective rate is 60% - 90%. Vestibuloplasty involves longitudinal incision of the vaginal wall, especially the posterior wall mucosa, and then horizontal suture of the vaginal wall mucosa and vulvar skin to enlarge the vaginal orifice. Vestibular resection is to remove the mucosa of vestibular pain, and then sneak to separate part of vaginal mucosa to cover. Partial vestibular resection and total vestibular resection can be selected according to the patient's condition.
Third: Traditional Chinese medicine treatment of vulvar vestibulitis prescription: (the following content is for reference only, detailed need to consult the doctor) 1. Honeysuckle, dandelion, wild chrysanthemum, digin, tiankuizi each 15 grams, red peony, cortex moutan each 12 grams, system frankincense, system myrrh each 10 grams, raw licorice 6 grams. 2. Honeysuckle, forsythia, radix paeoniae rubra, cortex moutan 15 g each, Angelica sinensis, Gleditsia sinensis, frankincense, myrrh, Fritillaria, Angelica dahurica 10 g each, raw licorice 6 G. 3. Cornu Cervi gum, radix rehmanniae, white mustard seed, cinnamon, Pinellia ternata each 10 grams, ephedra, ginger, licorice each 6 grams.
matters needing attention
1. Fast food and hair. Such as fish, shrimp, crab, chicken head, pig head meat, goose, chicken wings, chicken feet, etc., after eating will aggravate the pudendal itching and inflammation. 2. Try to eat less spicy and stimulating food. For example: onion, pepper, pepper, Chinese prickly ash, mustard, fennel. 3. Avoid eating fried and greasy food. Such as fried dough sticks, cream, butter, chocolate, and so on, these foods help to damp and heat the role, will increase the secretion of leucorrhea, is not conducive to the treatment of the disease. 4. Quit smoking and drinking. Tobacco and alcohol are highly irritant and can aggravate inflammation.
