What is the cause of fungal vaginitis detected during physical examination

Mycotic vaginitis may be caused by vaginal flora imbalance, long-term use of antibiotics, decreased immunity, uncontrolled diabetes, and elevated estrogen level. It can be treated by antifungal drugs, adjusting living habits, controlling blood sugar, avoiding abuse of antibiotics, and keeping the vulva clean and dry.

1. Dysbiosis of vaginal flora

The disruption of normal vaginal flora may lead to excessive growth of mold. Common triggers include frequent vaginal flushing and the use of alkaline washes. Patients may experience symptoms such as tofu residue like vaginal discharge and itching of the external genitalia. Antifungal drugs such as clotrimazole vaginal tablets, miconazole nitrate suppositories, and nystatin vaginal effervescent tablets can be used according to medical advice. It is recommended to avoid using adult vaginal medication for children, and parents should choose pediatric specific preparations.

2. Long term use of antibiotics

Broad spectrum antibiotics may inhibit the growth of lactobacilli, leading to the proliferation of Candida. Commonly seen in patients with recurrent respiratory infections or chronic inflammation. Typical manifestations include burning pain in the external genitalia and pain during sexual intercourse. Treatment requires discontinuing unnecessary antibiotics and using oral antifungal drugs such as fluconazole capsules and itraconazole capsules. Parents should be aware that if their children experience redness and swelling of the external genitalia after using antibiotics, they should seek medical attention promptly.

3. Decreased immunity

Pregnancy, HIV infection, or use of immunosuppressants may lower local immunity. Patients often have external genital edema and discomfort during urination. In addition to using topical Terbinafine cream, it is necessary to actively treat underlying diseases. Children have weaker immune systems, and parents need to pay attention to strengthening nutritional supplements.

4. Uncontrolled diabetes

High blood sugar will change the vaginal internal environment and promote the growth of candida. Often accompanied by cracked external genital skin and sticky vaginal discharge. Blood sugar needs to be monitored and terbinafine hydrochloride vaginal effervescent tablets used, while controlling diet. Parents should screen for diabetes if they find children with polydipsia and polyuria accompanied by pruritus vulvae.

5. Elevated estrogen levels

Oral contraceptives or elevated estrogen levels during pregnancy can increase glycogen content. The typical symptoms are external genital flushing and increased vaginal discharge. The treatment uses clotrimazole vaginal soft capsules and adjusts the contraceptive method. Adolescent girls need to change sanitary pads frequently, and parents should guide them on the correct care methods.

Cotton underwear should be chosen and changed daily to avoid wearing tight pants. When cleaning the external genitalia, warm water is sufficient and there is no need to use washing solution. Reduce the intake of high sugar foods in diet and supplement yogurt containing probiotics in moderation. Sexual activity is prohibited during the treatment period, and spouses need to undergo simultaneous examinations. Parents of pediatric patients should pay attention to choosing breathable materials for school uniforms and pants, and teach them the habit of wiping from front to back after using the toilet. When symptoms persist or worsen, it is necessary to re-examine the routine of vaginal discharge, and if necessary, perform fungal culture and drug sensitivity testing.