"What Factors Lead to Vaginal Discharge Inflammation, and What Are the Effective Treatment Options?"

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Gynecological Inflammation: Causes, Symptoms, and Treatments

Gynecological inflammation is a common condition among women, particularly those who are married and have given birth. This type of inflammation encompasses various forms such as pelvic inflammatory disease, endometritis, adnexitis, and vaginitis. Let's delve into the reasons behind vaginal discharge inflammation and its corresponding treatments.

What Causes Inflammation in Vaginal Discharge?

1. Dietary Factors: Consuming spicy and irritating foods can lead to vaginal inflammation. It's advisable to maintain a bland diet to prevent internal heat and subsequent vaginal inflammation.

2. Hygiene Issues: Poor hygiene practices, including frequenting public baths, or failing to change underwear regularly, can foster bacterial growth and result in vaginal inflammation.

3. Colpitis Mycotica: Excessive, odorous vaginal discharge is indicative of colpitis mycotica (vaginal yeast infection), requiring medical treatment.

4. Internal Heat: Prolonged consumption of spicy foods, emotional stress, and inadequate sleep can cause internal heat, disrupting hormonal balance and leading to abnormal vaginal discharge with inflammation.

Treatments for Vaginal Discharge Inflammation

1. Trichomoniasis-Induced Abnormal Discharge: Characterized by abundant yellow, foamy discharge accompanied by vulvar itching. Treatment involves Metronidazole (Flagyl) tablets, taken three times daily, 200 mg each.

2. Gonococcal Vaginitis-Induced Abnormal Discharge: If discharge is豆腐渣-like with intense vulvar itching, or extremely abundant and yellow-pus-like (especially if your partner has a history of unprotected sex), it may indicate gonococcal vaginitis. Treatment can involve herbal remedies such as honeysuckle (10g), goldenrod (15g), bamboo shoot (15g), stoneleaf (10g), rush (20g), plantain (10g), and corktree bark (15g), brewed into a tea, one dose daily. Alternatively, the dregs can be reboiled and used to rinse the vagina.

3. Colpitis Mycotica-Induced Abnormal Discharge: Characterized by a white, film-like coating on the vulva and vaginal walls, revealing inflamed mucosa upon removal, often accompanied by vulvar itching and burning sensations. Diabetics and pregnant women are more susceptible due to their weakened immune systems. Treatment involves inserting Nystatin suppositories (10,000 units) into the vagina nightly, for a course of 10 days.

4. Bacterial Vaginosis-Induced Abnormal Discharge: Characterized by yellowish, foul-smelling discharge, accompanied by vulvar redness, burning sensations, and urinary symptoms (frequency, urgency, pain). Treatment may involve Double Sulfamethoxazole Tablets, taken twice daily, two tablets each. Abnormal vaginal discharge can also indicate cervical erosion, pelvic inflammatory disease, or, in severe cases, gynecological cancers like cervical or endometrial cancer, especially if accompanied by watery or bloody discharge, foul odor, post-coital bleeding, or irregular bleeding.