Vaginitis can be caused due to several different factors, so the ideal treatment is one that targets the specific cause. The key to successful treatment is proper diagnosis. Medication prescribed may include oral medications, creams and suppositories. Doctors usually recommend vaginal creams and vaginal applications as initial treatment rather than oral medication.
Treatment of vaginitis
Bacterial vaginosis: There is no over-the-counter treatment for bacterial vaginosis. Treatment of this type of vaginitis is usually metronidazole tablets to be taken orally, metronidazole gel that you apply to your vagina or clindamycin cream for local application in the vagina. Most women need treatment for up to five to seven days. Alternative treatment regimen includes metronidazole, 2 g orally in a single dose and clindamycin 300 mg orally twice daily for 7 days.
Yeast infections: Yeast infections in most women can be treated with over-the-counter medications (such as miconazole, tioconazole, butoconazole, clotrimazole creams and gels). The medication is applied as directed on the formulation into the vagina and surrounding tissues for 1-7 days. If the symptoms do not subside or if you have irritation in the area, discontinue the medication immediately and consult a doctor. Advantages of over-the-counter treatment for a yeast infection include convenience and low cost, but there is a risk that it may be something other than a yeast infection. Your doctor may also prescribe vaginal cream/suppository as initial mode of treatment. Some women may be treated with a prescription oral antifungal medication such as fluconazole. Pregnant women should consult a doctor before using any treatment.
Trichomoniasis: Treatment of trichomoniasis includes metronidazole, 2 g orally in a single dose or tinidazole tablets. Alternative treatment includes metronidazole, 500 mg given orally twice daily for 7 days. Pregnant women should consult a doctor before using any treatment.
Vaginal atrophy: Thinning of vaginal lining (vaginal atrophy) is caused in menopausal women due to deficiency of estrogen. Treatment of this type of vaginitis includes estrogen given in the form of vaginal creams, tablets or rings.
Non-infectious vaginitis: Treatment of this type of vaginitis includes identifying the source of the irritation and avoiding it. Some possible vaginal irritants are soap, laundry detergent, sanitary napkins or tampons. To treat and reduce acute symptoms of non-infectious vaginitis, your doctor may provide medicated cream.
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